MELODIE ANNE KABANUK DOHM

SAINT PAUL, MN
NPI1578029757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  6419)
Enumeration Date2019-02-13
Last Update Date2021-02-20
Business Address
MELODIE ANNE KABANUK DOHM APRN-CNP, PMHNP
821 RAYMOND AVE STE 335
SAINT PAUL, MN 55114-1503
Phone number: 320-232-0647
Mailing Address
MELODIE ANNE KABANUK DOHM APRN-CNP, PMHNP
821 RAYMOND AVE STE 335
SAINT PAUL, MN 55114-1503
Phone number: 320-232-0647
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