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1801105960
BETH NICOLE LANGE
SAINT PAUL, MN
NPI
1801105960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 085074)
Enumeration Date
2010-10-06
Last Update Date
2010-10-06
Business Address
-- BETH NICOLE LANGE CRNA
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-4784
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Mailing Address
-- BETH NICOLE LANGE CRNA
689 KINGFISHER LN APT L
WOODBURY, MN 55125-1847
Phone number: 651-738-9702
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