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1821302712
LAURIE A YOUNG
ROSEVILLE, MN
NPI
1821302712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
(Licence: MN 109610-7)
Enumeration Date
2010-08-03
Last Update Date
2010-08-03
Business Address
-- LAURIE A YOUNG RN
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113-1126
Phone number: 651-642-1825
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Mailing Address
-- LAURIE A YOUNG RN
11208 WREN ST NW
COON RAPIDS, MN 55433-3569
Phone number: 763-951-2274
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