DIANNA EASTLICK

ST LOUIS PARK, MN
NPI1356595466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MN  2008005175)
Enumeration Date2008-11-17
Last Update Date2008-11-17
Business Address
-- DIANNA EASTLICK CANP
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426-4702
Phone number: 952-993-6600
Mailing Address
-- DIANNA EASTLICK CANP
10685 99TH PL N
MAPLE GROVE, MN 55369-3471
Phone number: 763-315-8776
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