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1124624945
VIVIAN LEE
SAINT PAUL, MN
NPI
1124624945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 7660)
Enumeration Date
2020-12-07
Last Update Date
2020-12-09
Business Address
VIVIAN LEE
1040 GRAND AVE # 5161
SAINT PAUL, MN 55105-3001
Phone number: 651-224-2155
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Mailing Address
VIVIAN LEE
1040 GRAND AVE # 5161
SAINT PAUL, MN 55105-3001
Phone number:
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