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1306151725
LORA JANELLE BODELL
MINNEAPOLIS, MN
NPI
1306151725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN 3140)
Enumeration Date
2010-08-10
Last Update Date
2020-07-22
Business Address
Ms. LORA JANELLE BODELL
4730 CHICAGO AVE
MINNEAPOLIS, MN 55407-3570
Phone number: 952-883-6805
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Mailing Address
Ms. LORA JANELLE BODELL
8170 33RD AVE S
BLOOMINGTON, MN 55425-4516
Phone number: 952-883-6805
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