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1073193660
ERICA BARBOSA DE SOUZA
PLYMOUTH, MN
NPI
1073193660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN 8111)
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
ERICA BARBOSA DE SOUZA cnp
220 MAGNOLIA LN N
PLYMOUTH, MN 55441-5712
Phone number: 763-744-7256
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Mailing Address
ERICA BARBOSA DE SOUZA cnp
220 MAGNOLIA LN N
PLYMOUTH, MN 55441-5712
Phone number: 763-744-7256
Copy
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