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1801240205
ERNESTINE MAMBO
ANOKA, MN
NPI
1801240205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN CNP4350)
Enumeration Date
2016-04-21
Last Update Date
2017-04-25
Business Address
-- ERNESTINE MAMBO
3301 7TH AVE
ANOKA, MN 55303-4516
Phone number: 651-431-5000
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Mailing Address
-- ERNESTINE MAMBO
13100 BITTERSWEET ST NW
MINNEAPOLIS, MN 55448-1210
Phone number: 651-408-5286
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