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1528315470
AMANDA JEANNE CARROLL
SAINT PAUL, MN
NPI
1528315470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R 173863-0)
Enumeration Date
2012-08-09
Last Update Date
2012-08-09
Business Address
-- AMANDA JEANNE CARROLL CNP
1358 KENT ST
SAINT PAUL, MN 55117-4226
Phone number: 952-240-3046
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Mailing Address
-- AMANDA JEANNE CARROLL CNP
1358 KENT ST
SAINT PAUL, MN 55117-4226
Phone number: 952-240-3046
Copy
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