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Individual

VICKIE TIERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2980 RICE ST, LITTLE CANADA, MN 55113
(651) 488-4655
(651) 488-4656
Mailing address
2980 RICE ST, LITTLE CANADA, MN 55113-2230
(651) 488-4655
(651) 488-4656

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R091543-8
MN

Other

Enumeration date
05/02/2016
Last updated
05/02/2016
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