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Individual

MR. SEAN SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 672-2281
(612) 672-2986
Mailing address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 672-2281
(612) 672-2986

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-183123-6
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
100386
MN

Other

Enumeration date
11/04/2013
Last updated
01/02/2014
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