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1184855587
JAKIANN MARIE MORK
WYOMING, MN
NPI
1184855587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MN R103401-7)
Enumeration Date
2009-08-03
Last Update Date
2009-08-03
Business Address
-- JAKIANN MARIE MORK ANP-BC
5200 FAIRVIEW BLVD
WYOMING, MN 55092-8013
Phone number: 651-982-7893
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Mailing Address
-- JAKIANN MARIE MORK ANP-BC
4535 HEIGHTS DR
COLUMBIA HEIGHTS, MN 55421-3321
Phone number: 763-571-8105
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