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1134465065
ABBY ROSE ROTH
EAGAN, MN
NPI
1134465065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R-161224-8)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
Ms. ABBY ROSE ROTH NP-C
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122-2235
Phone number: 866-389-2727
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Mailing Address
Ms. ABBY ROSE ROTH NP-C
2240 E 42ND ST
MINNEAPOLIS, MN 55407-3049
Phone number: 507-269-4279
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