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Individual

CLAIRE J DOMBROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(612) 262-7800
Mailing address
7601 FRANCE AVE S, SUITE 270, EDINA, MN 55435-5968
(952) 841-2345
(952) 841-2346

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
878
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
887955900
MN
Enumeration date
09/02/2006
Last updated
02/19/2019
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