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Individual

PROF. DIANE LYNN COMPO MILOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
COLLEGE OF ST. CATHERINE, 2004 RANDOLPH AVE, ST. PAUL, MN 55454
(651) 690-6714
(651) 690-6188
Mailing address
4701 TUXEDO BLVD, MOUND, MN 55364-9169
(952) 472-0430

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R 111945-3
MN

Other

Enumeration date
04/24/2007
Last updated
07/08/2007
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