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1255763900
JACKIE KAY TEWES
SHAKOPEE, MN
NPI
1255763900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R206715-1)
Enumeration Date
2013-08-05
Last Update Date
2013-08-05
Business Address
Mrs. JACKIE KAY TEWES RN, CNP
1601 SAINT FRANCIS AVE SUITE 100
SHAKOPEE, MN 55379-3383
Phone number: 952-428-3535
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Mailing Address
Mrs. JACKIE KAY TEWES RN, CNP
7165 OAKRIDGE TRL
SHAKOPEE, MN 55379-5514
Phone number: 402-670-4054
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