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1164400495
CRAIG JON VINE
ST PAUL, MN
NPI
1164400495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MN 33712)
Enumeration Date
2006-01-06
Last Update Date
2013-02-10
Business Address
-- CRAIG JON VINE MD
2550 UNIVERSITY AVENUE WEST SUITE 229N
ST PAUL, MN 55114
Phone number: 651-645-3115
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Mailing Address
-- CRAIG JON VINE MD
2550 UNIVERSITY AVENUE WEST SUITE 229N
ST PAUL, MN 55114
Phone number: 651-645-3115
Copy
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