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Individual

CHAUNTEL SPALJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2199
(952) 924-5000
Mailing address
7161 FRANCE AVE S APT 413, MINNEAPOLIS, MN 55435-4341

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2363
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/08/2017
Last updated
09/25/2019
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