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1750115036
ELLEN RAE COCHRAN
GRAND RAPIDS, MN
NPI
1750115036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 12029)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
ELLEN RAE COCHRAN APRN
28 NW 4TH ST STE A
GRAND RAPIDS, MN 55744-2714
Phone number: 218-999-7750
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Mailing Address
ELLEN RAE COCHRAN APRN
19569 PINE LANDING DR
GRAND RAPIDS, MN 55744-5146
Phone number: 218-360-9466
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