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1114988664
LYNN M TAIVAL
ST PAUL, MN
NPI
1114988664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN R1371262)
Enumeration Date
2006-03-31
Last Update Date
2012-09-06
Business Address
-- LYNN M TAIVAL CPNP
347 NORTH SMITH AVENUE CHILDRENS SPECIALTY CLINIC NICU FOLLOW UP CLINIC
ST PAUL, MN 55102
Phone number: 651-220-8063
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Mailing Address
-- LYNN M TAIVAL CPNP
2910 CENTRE POINT DRIVE 35-121A
ROSEVILLE, MN 55113
Phone number: 651-855-2327
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