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1669107553
TERESA LEE VAN DE SANDE
SAINT PAUL, MN
NPI
1669107553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 8539)
Enumeration Date
2022-07-23
Last Update Date
2022-08-09
Business Address
TERESA LEE VAN DE SANDE NP
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102-2481
Phone number: 715-821-0599
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Mailing Address
TERESA LEE VAN DE SANDE NP
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-4400
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