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Individual

MARY ELLEN STANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1 VETERANS DR, AUDIO CLINIC,, MINNEAPOLIS, MN 55417-2309
(612) 467-4080
Mailing address
6856 W SHADOW LAKE DR, LINO LAKES, MN 55014-1907
(651) 486-9677

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81
AK

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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