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1437987062
GRACE MODINA
SAINT PAUL, MN
NPI
1437987062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 11828)
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
GRACE MODINA DNP, CNP, PMHNP-BC
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN 55104-3952
Phone number: 651-379-5157
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Mailing Address
GRACE MODINA DNP, CNP, PMHNP-BC
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN 55104-3952
Phone number: 651-379-5157
Copy
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