LARISSA NELSON

SHAKOPEE, MN
NPI1861479875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MN  45464)
Enumeration Date2005-12-30
Last Update Date2012-03-05
Business Address
-- LARISSA NELSON
1415 SAINT FRANCIS AVE SUITE 200
SHAKOPEE, MN 55379-3374
Phone number: 952-993-7750
Mailing Address
-- LARISSA NELSON
3800 PARK NICOLLET BLVD CREDENTIALING
ST LOUIS PARK, MN 55416-2527
Phone number:
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