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1457728529
LAVEDA DEOUNTA FARRIOR
MINNETONKA, MN
NPI
1457728529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN221986)
Enumeration Date
2015-08-25
Last Update Date
2020-09-22
Business Address
LAVEDA DEOUNTA FARRIOR NP
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 912-704-9714
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Mailing Address
LAVEDA DEOUNTA FARRIOR NP
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 912-224-1316
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