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Individual

MS. JODELL E DAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, CNP

Contact information

Practice address
2450 RIVERSIDE AVE SE, EAST BUILDING JOURNEY CLINIC 9E, MINNEAPOLIS, MN 55454-0341
(612) 365-8100
(612) 626-2815
Mailing address
202 OAK GROVE PLACE, ST. PAUL, MN 55105-2759
(612) 626-2804
(612) 626-2815

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0866590
MN

Other

Enumeration date
03/22/2007
Last updated
04/11/2012
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