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Individual

SARAH MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP, RN

Contact information

Practice address
1664 SUBURBAN AVENUE, ST. PAUL, MN 55106
(612) 701-4301
Mailing address
1664 SUBURBAN AVENUE, ST. PAUL, MN 55106
(612) 701-4301

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1579103
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
R157910-3
MN

Other

Enumeration date
09/26/2013
Last updated
07/16/2018
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