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1821507153
CORISSA L ANDERSON
DULUTH, MN
NPI
1821507153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MN CNP5431)
Enumeration Date
2017-09-29
Last Update Date
2017-09-29
Business Address
CORISSA L ANDERSON APRN, CNP
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364
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Mailing Address
CORISSA L ANDERSON APRN, CNP
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-364-4222
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