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1518700913
IFTU G DOROSE
MINNEAPOLIS, MN
NPI
1518700913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MN $$$$$$$$$)
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
IFTU G DOROSE
3638 CENTRAL AVE NE
MINNEAPOLIS, MN 55418-1343
Phone number: 612-823-2947
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Mailing Address
IFTU G DOROSE
4844 CHESTNUT DR
WOODBURY, MN 55129-4402
Phone number: 218-340-8422
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