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1982031571
MARY T SALLSTROM
MINNEAPOLIS, MN
NPI
1982031571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN R193258-8)
Enumeration Date
2013-09-27
Last Update Date
2013-09-27
Business Address
-- MARY T SALLSTROM CPNP
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-365-6777
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Mailing Address
-- MARY T SALLSTROM CPNP
420 DELAWARE ST SE MMC 366 (PEDS BMT)
MINNEAPOLIS, MN 55455-0341
Phone number: 612-365-6777
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