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Individual

MRS. MICHELE DENISE CLEMENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 430-4765
Mailing address
14545 97TH ST N, STILLWATER, MN 55082-9258
(651) 430-1806

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R 092313-2
MN

Other

Enumeration date
12/28/2006
Last updated
07/08/2007
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