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1598267148
SARAH IMDIEKE
SAINT PAUL, MN
NPI
1598267148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MN 5698)
Enumeration Date
2018-02-28
Last Update Date
2021-03-11
Business Address
SARAH IMDIEKE CNP
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108-5109
Phone number: 651-241-9700
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Mailing Address
SARAH IMDIEKE CNP
4731 15TH AVE S
MINNEAPOLIS, MN 55407-3654
Phone number: 612-644-7185
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