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1699334904
JESSICA DETERMAN
SAINT PAUL, MN
NPI
1699334904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN 6515)
Enumeration Date
2019-06-10
Last Update Date
2019-08-09
Business Address
JESSICA DETERMAN CPNP
205 WABASHA ST S
SAINT PAUL, MN 55107-1805
Phone number: 651-293-8100
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Mailing Address
JESSICA DETERMAN CPNP
PO BOX 1309-MAIL STOP 21110Q
MINNEAPOLIS, MN 55440-1309
Phone number:
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