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Individual

SARAH IRENE HARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4140 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2308
(763) 478-4612
Mailing address
206 BLUFFS RIDGE CT, DULUTH, MN 55811-2602
(763) 568-0996

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7867
MN
363LF0000X
Family Nurse Practitioner
Primary
7867
MN

Other

Enumeration date
08/30/2021
Last updated
10/19/2021
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