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1184740664
MADONNA KATHRYN MCDERMOTT
SAINT PAUL, MN
NPI
1184740664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MN R-122604-5)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- MADONNA KATHRYN MCDERMOTT CNP
2115 SUMMIT AVE MAIL BOX 5056
SAINT PAUL, MN 55105-1048
Phone number: 651-962-6750
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Mailing Address
-- MADONNA KATHRYN MCDERMOTT CNP
1567 DUNLAP ST N
SAINT PAUL, MN 55108-2215
Phone number: 651-487-3707
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