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1669973962
SELENA MARIE DACOSTA
MINNEAPOLIS, MN
NPI
1669973962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN 5532)
Enumeration Date
2018-02-22
Last Update Date
2023-10-11
Business Address
SELENA MARIE DACOSTA APRN, CNP
715 S 8TH ST
MINNEAPOLIS, MN 55404-1210
Phone number: 612-873-6963
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Mailing Address
SELENA MARIE DACOSTA APRN, CNP
701 PARK AVE
MINNEAPOLIS, MN 55415-1623
Phone number: 612-873-3000
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