Individual
GAIL ELIZABETH ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1300 GODWARD ST NE, MINNEAPOLIS, MN 55413-1741
(612) 353-4669
(612) 354-2403
Mailing address
1300 GODWARD ST NE, MINNEAPOLIS, MN 55413-1741
(612) 353-4669
(612) 354-2403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 058902-6
MN
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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