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1588122378
CLERISSE ANN EWELIKE
MINNETONKA, MN
NPI
1588122378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP140679)
Enumeration Date
2019-03-11
Last Update Date
2020-09-16
Business Address
CLERISSE ANN EWELIKE NP-C
9900 BREN RD E MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343-9664
Phone number: 469-271-9983
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Mailing Address
CLERISSE ANN EWELIKE NP-C
8401 SKILLMAN ST APT 1026
DALLAS, TX 75231-1846
Phone number: 469-595-3782
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