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1386009892
JENNA STARK
MINNEAPOLIS, MN
NPI
1386009892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 1866)
Enumeration Date
2015-12-28
Last Update Date
2018-03-19
Business Address
JENNA STARK
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-365-1000
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Mailing Address
JENNA STARK
18032 70TH PL N
MAPLE GROVE, MN 55311-3032
Phone number: 320-309-4780
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