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Individual

TERESA DEE DOREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5810 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076-1857
(612) 790-4916
Mailing address
1660 LIBERTY CIR, SHAKOPEE, MN 55379-4594
(952) 215-2549

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2118563
MN
163WH0200X
Home Health Registered Nurse
2118563
MN

Other

Enumeration date
11/16/2021
Last updated
11/16/2021
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