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1700609203
CAROLYN MARIE PORTA
SAINT PAUL, MN
NPI
1700609203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MN R-12972-2)
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
CAROLYN MARIE PORTA PHD, MPH, RN, SANE-A
640 JACKSON ST
SAINT PAUL, MN 55101-2595
Phone number: 651-226-4221
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Mailing Address
CAROLYN MARIE PORTA PHD, MPH, RN, SANE-A
1930 PINEHURST AVE
SAINT PAUL, MN 55116-1339
Phone number: 651-226-4221
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