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Individual

COURTNEY MARIE IAQUINTO GUERRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7380 FRANCE AVE S STE 220, EDINA, MN 55435-4537
(651) 341-4291
Mailing address
7380 FRANCE AVE S STE 220, EDINA, MN 55435-4537
(651) 341-4291

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201902527RN
OR
363L00000X
Nurse Practitioner
Primary
11338
MN
363LP0200X
Pediatric Nurse Practitioner
2377252
MN

Other

Enumeration date
08/18/2020
Last updated
09/10/2024
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