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1205591104
CAROLINE RUDOLPH
COON RAPIDS, MN
NPI
1205591104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 2021084101)
Enumeration Date
2021-11-04
Last Update Date
2022-05-18
Business Address
CAROLINE RUDOLPH APRN
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433-5841
Phone number: 763-780-9155
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Mailing Address
CAROLINE RUDOLPH APRN
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 122-629-0006
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