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Individual

DAWN BABCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3242
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4396
MN
363L00000X
Nurse Practitioner
R 156864-8
MN

Other

Enumeration date
12/14/2015
Last updated
07/03/2024
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