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1083191522
IKRAN OMAR HUSSEIN
SAINT PAUL, MN
NPI
1083191522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN 5866)
Enumeration Date
2018-07-27
Last Update Date
2018-09-10
Business Address
IKRAN OMAR HUSSEIN CPNP
345 SMITH AVE N
SAINT PAUL, MN 55102-2346
Phone number: 651-220-6750
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Mailing Address
IKRAN OMAR HUSSEIN CPNP
947 MARYLAND AVE E
SAINT PAUL, MN 55106-2620
Phone number: 507-319-6028
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