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1871091306
MELISSA MARIE CROCKETT
BURNSVILLE, MN
NPI
1871091306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MN 731078)
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
Mrs. MELISSA MARIE CROCKETT LPN
11939 RIVER HILLS DR
BURNSVILLE, MN 55337-1354
Phone number: 952-890-4480
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Mailing Address
Mrs. MELISSA MARIE CROCKETT LPN
11939 RIVER HILLS DR
BURNSVILLE, MN 55337-1354
Phone number: 952-890-4480
Copy
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