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1063823987
EDRA NORDSTROM
SAINT PAUL, MN
NPI
1063823987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MN 63394)
Enumeration Date
2014-05-13
Last Update Date
2018-08-30
Business Address
EDRA NORDSTROM M.D.
205 WABASHA ST S
SAINT PAUL, MN 55107-1805
Phone number: 952-967-5584
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Mailing Address
EDRA NORDSTROM M.D.
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number:
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