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1821740093
JOHN KIIZA
SAINT PAUL, MN
NPI
1821740093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 8860)
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
JOHN KIIZA
1026 7TH ST W
SAINT PAUL, MN 55102-3828
Phone number: 651-758-9500
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Mailing Address
JOHN KIIZA
1265 HILLTOP CT
MAPLEWOOD, MN 55109-2037
Phone number: 651-235-3607
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