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1922354182
PATRICIA GANNON
LAKEVILLE, MN
NPI
1922354182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R 79950-2)
Enumeration Date
2012-07-25
Last Update Date
2012-07-25
Business Address
-- PATRICIA GANNON MPH, CNP
17578 DODD BLVD
LAKEVILLE, MN 55044-3909
Phone number: 952-484-8060
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Mailing Address
-- PATRICIA GANNON MPH, CNP
17578 DODD BLVD
LAKEVILLE, MN 55044-3909
Phone number: 952-484-8060
Copy
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