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Individual

MRS. STEPHANIA PAULETTE CAVALLARO-MORONTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
2525 CHICAGO AVE STE 32-2516, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
1125 S 2ND ST APT 602, MINNEAPOLIS, MN 55415-2134
(786) 469-1356

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD-47062
IA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/26/2017
Last updated
06/11/2024
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