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1962756213
CAROL FILLMORE
EDINA, MN
NPI
1962756213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R1517903)
Enumeration Date
2012-11-07
Last Update Date
2014-12-16
Business Address
-- CAROL FILLMORE DNP, FNP-BC
3400 W 66TH ST
EDINA, MN 55435-2111
Phone number: 952-924-8117
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Mailing Address
-- CAROL FILLMORE DNP, FNP-BC
3400 W 66TH ST
EDINA, MN 55435-2111
Phone number: 952-924-8117
Copy
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