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1942723143
ELVIS TAMBI STARLLONE
OAKDALE, MN
NPI
1942723143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 5270)
Enumeration Date
2017-07-19
Last Update Date
2021-10-07
Business Address
ELVIS TAMBI STARLLONE APRN, PMHNP-BC, CNP
625 HAYWARD AVE N
OAKDALE, MN 55128-7127
Phone number: 651-410-7955
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Mailing Address
ELVIS TAMBI STARLLONE APRN, PMHNP-BC, CNP
625 HAYWARD AVE N
OAKDALE, MN 55128-7127
Phone number: 651-410-7955
Copy
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