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Individual

MS. STEFANIE L NYMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, MPA

Contact information

Practice address
3916 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55437-2945
(952) 252-1062
Mailing address
3916 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55437-2945
(952) 252-1062

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119583
MN
183500000X
Pharmacist
20813
IA

Other

Enumeration date
08/27/2009
Last updated
03/10/2010
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