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Individual

ELI SEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-3350
(763) 767-0912
Mailing address
1440 SPARTAN AVE, ALBERT LEA, MN 56007-1328
(701) 213-7123

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
2455792
MN
163WP0808X
Psychiatric/Mental Health Registered Nurse
2455792
MN
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2455792
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10762
MN

Other

Enumeration date
06/07/2019
Last updated
10/11/2023
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