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1336775782
SURVIVAL DAMARIS MANDIEKA
SHAKOPEE, MN
NPI
1336775782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 0000000000)
Enumeration Date
2020-03-18
Last Update Date
2020-03-18
Business Address
Dr. SURVIVAL DAMARIS MANDIEKA DNP, APRN,CNP
1816 GRANITE DR
SHAKOPEE, MN 55379-2900
Phone number: 612-298-8044
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Mailing Address
Dr. SURVIVAL DAMARIS MANDIEKA DNP, APRN,CNP
1816 GRANITE DR
SHAKOPEE, MN 55379-2900
Phone number: 612-298-8044
Copy
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