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1629590872
ALEXANDRA STAUM REIF
WOODBURY, MN
NPI
1629590872
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Former Name
ALEXANDRA ANNE STAUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN 5236)
Enumeration Date
2017-07-10
Last Update Date
2022-04-28
Business Address
Mrs. ALEXANDRA STAUM REIF CPNP
1825 WOODWINDS DR
WOODBURY, MN 55125-2202
Phone number: 651-323-6700
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Mailing Address
Mrs. ALEXANDRA STAUM REIF CPNP
1700 UNIVERSITY AVE W PROVIDER ENROLLMENT
ST PAUL, MN 55104-3727
Phone number:
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