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1356468367
CAROL JEAN IVERSON
SAINT CLOUD, MN
NPI
1356468367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 018536)
Enumeration Date
2007-03-23
Last Update Date
2008-01-14
Business Address
CAROL JEAN IVERSON CRNA
1526 NORTHWAY DR
SAINT CLOUD, MN 56303-1255
Phone number: 320-251-8385
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Mailing Address
CAROL JEAN IVERSON CRNA
8521 N SHORE DR
SPICER, MN 56288-9561
Phone number: 320-796-0034
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