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1073189759
ELIZABETH ANNE VASSALLO
WHITE BEAR LAKE, MN
NPI
1073189759
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Former Name
ELIZABETH ANNE CLAYPOOL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MN 8208)
Enumeration Date
2021-06-02
Last Update Date
2021-06-02
Business Address
MRS. ELIZABETH ANNE VASSALLO CNP
4461 WHITE BEAR PKWY STE 2
WHITE BEAR LAKE, MN 55110-7626
Phone number: 651-348-8851
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Mailing Address
MRS. ELIZABETH ANNE VASSALLO CNP
2466 FIELDSTONE RD SW
ROCHESTER, MN 55902-1378
Phone number: 507-884-1984
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