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1114906120
SUSAN F BAUMAN
MANKATO, MN
NPI
1114906120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN R0743451)
Enumeration Date
2006-01-10
Last Update Date
2011-09-22
Business Address
-- SUSAN F BAUMAN RN NP
1230 E MAIN ST MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56001-5066
Phone number: 507-625-1811
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Mailing Address
-- SUSAN F BAUMAN RN NP
1230 E MAIN ST PO BOX 8674
MANKATO, MN 56001-5066
Phone number: 507-625-1811
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