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1386141554
BINTA FATMATA BARRY
SAINT PAUL, MN
NPI
1386141554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MN 5750)
Enumeration Date
2018-04-12
Last Update Date
2019-01-16
Business Address
BINTA FATMATA BARRY AGNP
255 SMITH AVE N STE 100
SAINT PAUL, MN 55102
Phone number: 651-241-7246
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Mailing Address
BINTA FATMATA BARRY AGNP
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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