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1396134284
TRACY SHANOHA LAVETTE WOFFORD
BROOKLYN PARK, MN
NPI
1396134284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R175874-6)
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
-- TRACY SHANOHA LAVETTE WOFFORD NP
10174 FLORIDA CIR N
BROOKLYN PARK, MN 55445-2767
Phone number: 612-803-9344
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Mailing Address
-- TRACY SHANOHA LAVETTE WOFFORD NP
10174 FLORIDA CIR N
BROOKLYN PARK, MN 55445-2767
Phone number: 612-803-9344
Copy
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