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Individual

SARA DEZELL

Active
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Individual

SARA DEZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
R 213472-5
MN
364S00000X
Clinical Nurse Specialist
Primary
CNS 0507
MN

Other

Enumeration date
05/27/2016
Last updated
07/16/2026
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