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Individual

MRS. CHRISTINE MARY LECUYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 789-1236
Mailing address
1398 JUDITH AVE, ROSEVILLE, MN 55113-1706
(612) 802-2138

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R108930 5
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356526008
MN
Enumeration date
09/13/2007
Last updated
04/24/2017
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