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1568988038
NICOLIS BAUMGARD
MINNEAPOLIS, MN
NPI
1568988038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MN R2448631)
Enumeration Date
2017-08-16
Last Update Date
2017-08-16
Business Address
NICOLIS BAUMGARD RN, PHN
1 VETERANS DR
MINNEAPOLIS, MN 55417-2309
Phone number: 952-467-3514
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Mailing Address
NICOLIS BAUMGARD RN, PHN
13725 VERNON CIR
SAVAGE, MN 55378-1893
Phone number: 952-463-6174
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