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1255812590
GRISELDA LOPEZ
FARIBAULT, MN
NPI
1255812590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 6082)
Enumeration Date
2018-08-24
Last Update Date
2021-03-11
Business Address
Ms. GRISELDA LOPEZ NP
100 STATE AVE
FARIBAULT, MN 55021-6337
Phone number: 504-334-3921
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Mailing Address
Ms. GRISELDA LOPEZ NP
100 STATE AVE
FARIBAULT, MN 55021-6337
Phone number: 507-334-3921
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