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CHERIDA IRENE MCCALL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1430 HWY 96 E, MAIL STOP 32300A, WHITE BEAR LAKE, MN 55110-7693
(651) 426-1980
(651) 653-2111
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MN

Other

Enumeration date
03/08/2006
Last updated
07/08/2007
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