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1902674773
NICHOLAS CHARLES MCCLELLAN
EDINA, MN
NPI
1902674773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 11097)
Enumeration Date
2023-12-12
Last Update Date
2023-12-13
Business Address
NICHOLAS CHARLES MCCLELLAN NP
6401 FRANCE AVE S
EDINA, MN 55435-2104
Phone number: 952-924-5000
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Mailing Address
NICHOLAS CHARLES MCCLELLAN NP
15016 PETELER LN
MINNETONKA, MN 55345-5740
Phone number: 612-237-1167
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