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1194428391
LESLIE WALTERS
SHAKOPEE, MN
NPI
1194428391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 9960)
Enumeration Date
2023-03-24
Last Update Date
2024-09-11
Business Address
LESLIE WALTERS
8170 OLD CARRIAGE CT STE 100
SHAKOPEE, MN 55379-3164
Phone number: 952-428-3600
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Mailing Address
LESLIE WALTERS
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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