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1972067205
INGRID CRESENCIO
SAINT CLOUD, MN
NPI
1972067205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MN 6408)
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
INGRID CRESENCIO CNP
1406 6TH AVE N
SAINT CLOUD, MN 56303-1900
Phone number: 320-251-2700
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Mailing Address
INGRID CRESENCIO CNP
8484 KNOLLWOOD DR
SAINT PAUL, MN 55112-6136
Phone number: 612-810-5748
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