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1104870906
MICHELLE MAUDER
SAINT PAUL, MN
NPI
1104870906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN R143864-2)
Enumeration Date
2006-05-19
Last Update Date
2014-10-13
Business Address
-- MICHELLE MAUDER RN,CNP
360 COLBORNE ST
SAINT PAUL, MN 55102-3228
Phone number: 651-767-8189
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Mailing Address
-- MICHELLE MAUDER RN,CNP
360 COLBORNE ST
SAINT PAUL, MN 55102-3228
Phone number: 651-767-8380
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