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1174191035
LISA ANNE SOUPIR
EDEN PRAIRIE, MN
NPI
1174191035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 7720)
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
LISA ANNE SOUPIR NP-C
6485 CITY WEST PKWY
EDEN PRAIRIE, MN 55344-3246
Phone number: 952-933-1150
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Mailing Address
LISA ANNE SOUPIR NP-C
6485 CITY WEST PKWY
EDEN PRAIRIE, MN 55344-3246
Phone number: 952-933-1150
Copy
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