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1588763007
GINA LYNN EDISON
CHASKA, MN
NPI
1588763007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 128639)
Enumeration Date
2006-09-21
Last Update Date
2017-10-24
Business Address
GINA LYNN EDISON NP
111 HUNDERTMARK RD
CHASKA, MN 55318-4551
Phone number: 952-556-0071
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Mailing Address
GINA LYNN EDISON NP
560 SOUTH MAPLE ST SUITE 130
WACONIA, MN 55387
Phone number: 952-856-4003
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