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Individual

MISS JENNIFER SUE GIOIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
16610 54TH AVE N, PLYMOUTH, MN 55446-3837
(712) 490-8476
Mailing address
16610 54TH AVE N, PLYMOUTH, MN 55446-3837
(712) 490-8476

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 208422-8
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2201
MN

Other

Enumeration date
03/29/2013
Last updated
01/31/2023
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