DIANNE MALLISON

BLOOMINGTON, MN
NPI1407832892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: MN  R0600015)
Enumeration Date2005-12-19
Last Update Date2007-07-08
Business Address
-- DIANNE MALLISON
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437-3934
Phone number: 952-993-2550
Mailing Address
-- DIANNE MALLISON
6465 WAYZATA BLVD SUITE 315
ST LOUIS PARK, MN 55426-1728
Phone number:
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