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1083941991
COLLEEN RUSSELL
ST LOUIS PARK, MN
NPI
1083941991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WN0800X Registered Nurse, Neuroscience
(Licence: MN 123839-2)
Enumeration Date
2009-11-13
Last Update Date
2009-11-13
Business Address
-- COLLEEN RUSSELL RN
5775 WAYZATA BLVD SUITE 200
ST LOUIS PARK, MN 55416-1222
Phone number: 952-525-4511
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Mailing Address
-- COLLEEN RUSSELL RN
5775 WAYZATA BLVD SUITE 200
ST LOUIS PARK, MN 55416-1222
Phone number: 952-525-4511
Copy
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