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1740308527
LISA VANWATERMULEN
MANKATO, MN
NPI
1740308527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R145777-5)
Enumeration Date
2007-03-27
Last Update Date
2011-09-28
Business Address
-- LISA VANWATERMULEN RN, NP
1230 E MAIN ST
MANKATO, MN 56001-5066
Phone number: 507-625-1811
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Mailing Address
-- LISA VANWATERMULEN RN, NP
1230 E MAIN ST
MANKATO, MN 56001-5066
Phone number: 507-625-1811
Copy
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