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1447989074
NATHAN R GRUMDAHL
BROOKLYN PARK, MN
NPI
1447989074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 9441)
Enumeration Date
2022-06-08
Last Update Date
2022-08-24
Business Address
NATHAN R GRUMDAHL CNP
5500 94TH AVE N
BROOKLYN PARK, MN 55443-1992
Phone number: 952-826-8475
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Mailing Address
NATHAN R GRUMDAHL CNP
5500 94TH AVE N
BROOKLYN PARK, MN 55443-1992
Phone number: 763-762-6870
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