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1417061029
IRENE CAROLYN DETVILER
SAINT PAUL, MN
NPI
1417061029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MN R068147-4)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- IRENE CAROLYN DETVILER RN
255 SMITH AVE N
SAINT PAUL, MN 55102-2572
Phone number: 651-292-0616
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Mailing Address
-- IRENE CAROLYN DETVILER RN
7806 IRISH AVE S
COTTAGE GROVE, MN 55016-2072
Phone number: 651-459-2596
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