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1093750499
TERESA KIRESUK
SAINT PAUL, MN
NPI
1093750499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MN R1133714)
Enumeration Date
2006-06-19
Last Update Date
2007-07-08
Business Address
-- TERESA KIRESUK NP
1021 BANDANA BLVD E SUITE 200
SAINT PAUL, MN 55108-5113
Phone number: 651-637-2960
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Mailing Address
-- TERESA KIRESUK NP
1021 BANDANA BLVD E SUITE 200
SAINT PAUL, MN 55108-5113
Phone number: 651-642-2700
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