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Individual

DR. STEPHANIE MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-2404
Mailing address
1929 GREEN ASH DR, CARVER, MN 55315-4611
(262) 806-2001

Taxonomy

Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
124399
MN

Other

Enumeration date
09/12/2022
Last updated
09/12/2022
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