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Individual

CATHERINE AGALLO DEYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2730 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4963
(866) 389-2727
Mailing address
2730 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4963
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 158207-7
MN
363LF0000X
Family Nurse Practitioner
Primary
7752
MN

Other

Enumeration date
05/07/2013
Last updated
07/13/2021
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