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1548383664
IMO I KALLA
SARTELL, MN
NPI
1548383664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R118728-1)
Enumeration Date
2007-04-06
Last Update Date
2011-12-20
Business Address
-- IMO I KALLA NP
2251 CONNECTICUT AVENUE S HP CENTRAL MN CLINICS
SARTELL, MN 56377-2486
Phone number: 320-253-5220
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Mailing Address
-- IMO I KALLA NP
8170 33RD AVE S MS21110Q
FREEPORT, MN 55425-4516
Phone number: 952-883-5375
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