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1215224092
NICOLE MARIE JENABZADEH
MINNETONKA, MN
NPI
1215224092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN F05111030)
Enumeration Date
2011-06-30
Last Update Date
2022-03-24
Business Address
NICOLE MARIE JENABZADEH CNP
130 CHESHIRE LN STE 100
MINNETONKA, MN 55305-0002
Phone number: 952-807-0415
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Mailing Address
NICOLE MARIE JENABZADEH CNP
PO BOX 308
FOREST LAKE, MN 55025-0308
Phone number: 952-807-0415
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