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1952774093
LISA THAYER
MINNETONKA, MN
NPI
1952774093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 6214)
Enumeration Date
2015-11-12
Last Update Date
2021-02-01
Business Address
LISA THAYER AGPCNP-BC
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 860-661-6574
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Mailing Address
LISA THAYER AGPCNP-BC
155R GUILFORD RD
DURHAM, CT 06422-2815
Phone number:
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