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1063490134
MICHELLE MADELINE LAVELLE-HENRY
EDINA, MN
NPI
1063490134
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Former Name
MICHELLE HENRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MN R953047)
Enumeration Date
2006-01-09
Last Update Date
2012-07-30
Business Address
Ms. MICHELLE MADELINE LAVELLE-HENRY N.P.
6521 MCCAULEY
EDINA, MN 55439-1028
Phone number: 952-942-7569
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Mailing Address
Ms. MICHELLE MADELINE LAVELLE-HENRY N.P.
6521 MCCAULEY
EDINA, MN 55439-1028
Phone number: 952-942-7569
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