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Individual

MS. GINGER CELESTE GUSTAFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1919 UNIVERSITY AVE., STE. 130, ST. PAUL, MN 55104
(651) 647-0017
(651) 647-3423
Mailing address
1919 UNIVERSITY AVE., STE. 130, ST. PAUL, MN 55104
(651) 647-0017
(651) 647-3423

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R200815-2
MN

Other

Enumeration date
08/05/2014
Last updated
08/05/2014
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