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1790327781
SIVILAI VANG
SAINT PAUL, MN
NPI
1790327781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 7001)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
Ms. SIVILAI VANG FNP-BC
1239 PAYNE AVE
SAINT PAUL, MN 55130-3667
Phone number: 651-209-8350
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Mailing Address
Ms. SIVILAI VANG FNP-BC
313 MINNESOTA AVE
ROSEVILLE, MN 55113-4741
Phone number: 651-209-8350
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