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1245249259
SUSAN LEE KISSELL
MINNETONKA, MN
NPI
1245249259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MN R0665283)
Enumeration Date
2006-08-07
Last Update Date
2011-09-02
Business Address
-- SUSAN LEE KISSELL RN, CNP
401 CARLSON PARKWAY
MINNETONKA, MN 55305-5387
Phone number: 952-992-3612
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Mailing Address
-- SUSAN LEE KISSELL RN, CNP
5510 MOUNT NORMANDALE CURV
BLOOMINGTON, MN 55437-1022
Phone number:
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