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1740027911
AMANDA MARIE ROERICK
SAINT CLOUD, MN
NPI
1740027911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 11749)
Enumeration Date
2024-07-13
Last Update Date
2024-07-13
Business Address
AMANDA MARIE ROERICK CNP
1900 CENTRACARE CIR STE 2300
SAINT CLOUD, MN 56303-5000
Phone number: 320-654-3630
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Mailing Address
AMANDA MARIE ROERICK CNP
225 4TH AVE W
SWANVILLE, MN 56382-4614
Phone number: 320-360-3844
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