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1710696745
PETER TIERNEY
PLYMOUTH, MN
NPI
1710696745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 2801)
Enumeration Date
2022-11-17
Last Update Date
2023-01-18
Business Address
PETER TIERNEY CRNA
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447-4876
Phone number: 763-559-3779
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Mailing Address
PETER TIERNEY CRNA
PO BOX 47159
PLYMOUTH, MN 55447-0159
Phone number: 763-559-3779
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