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1164491676
MAYA M WALKINGTON-STAUBER
EDINA, MN
NPI
1164491676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MN R1053357)
Enumeration Date
2006-03-16
Last Update Date
2012-04-11
Business Address
-- MAYA M WALKINGTON-STAUBER GNP
3400 W 66TH ST #290
EDINA, MN 55435-2111
Phone number: 952-914-1969
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Mailing Address
-- MAYA M WALKINGTON-STAUBER GNP
16555 KLAMATH TER 16555 KLAMATH TERRACE
LAKEVILLE, MN 55044-8425
Phone number: 612-859-1138
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