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1659332021
MARY L EZZO
WOODBURY, MN
NPI
1659332021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 26943)
Enumeration Date
2006-03-28
Last Update Date
2012-02-08
Business Address
MARY L EZZO MD
8675 VALLEY CREEK ROAD
WOODBURY, MN 55125-2337
Phone number: 651-241-3000
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Mailing Address
MARY L EZZO MD
2925 CHICAGO AVENUE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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