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1093752230
SUSAN J HALLORAN
SAINT PAUL, MN
NPI
1093752230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: MN R1075937)
Enumeration Date
2006-05-31
Last Update Date
2016-11-09
Business Address
-- SUSAN J HALLORAN NP
1619 DAYTON AVE #109
SAINT PAUL, MN 55104-6206
Phone number: 651-698-0891
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Mailing Address
-- SUSAN J HALLORAN NP
1619 DAYTON AVE #109
SAINT PAUL, MN 55104-6206
Phone number: 651-698-0891
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