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1881147106
IAN THOMAS SKARE
MAPLE GROVE, MN
NPI
1881147106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN CNP 4708)
Enumeration Date
2016-08-03
Last Update Date
2016-08-25
Business Address
Mr. IAN THOMAS SKARE CNP, PMHNP
13603 80TH CIR N
MAPLE GROVE, MN 55369-8961
Phone number: 763-274-3120
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Mailing Address
Mr. IAN THOMAS SKARE CNP, PMHNP
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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