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Individual

PATRICIA MARIE PROSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
225 SMITH AVE N #500, ST PAUL, MN 55102
(651) 726-2715
(651) 379-4484
Mailing address
225 SMITH AVE N #500, ST PAUL, MN 55102
(651) 726-2715
(651) 379-4484

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1100776
MN

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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