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1386168631
KATELIN SUPER
MINNETONKA, MN
NPI
1386168631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MN pending)
Enumeration Date
2017-07-28
Last Update Date
2022-07-21
Business Address
KATELIN SUPER APRN CNP
401 CARLSON PKWY
MINNETONKA, MN 55305-5359
Phone number: 952-992-3581
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Mailing Address
KATELIN SUPER APRN CNP
5320 W 23RD ST STE 130
MINNEAPOLIS, MN 55416-1670
Phone number: 952-345-3213
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