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1770113748
CHRISTINE FOSSUM
ROSEVILLE, MN
NPI
1770113748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 6366)
Enumeration Date
2020-01-18
Last Update Date
2021-03-13
Business Address
CHRISTINE FOSSUM CNP
2277 HIGHWAY 36 W STE 140
ROSEVILLE, MN 55113-3895
Phone number: 507-934-7161
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Mailing Address
CHRISTINE FOSSUM CNP
2277 HIGHWAY 36 W STE 140
ROSEVILLE, MN 55113-3895
Phone number:
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