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Student in an Organized Health Care Education/Training Program
NPI: 1306558317IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training ProgramPrimary
Student in an Organized Health Care Education/Training Program
Code: 390200000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2024
Contact & Hours
- Address
- 2715 MONTEREY AVE S
ST LOUIS PARK, MN 55416 - Phone
- (952) 261-3164
Quick Facts
- NPI
- 1306558317
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 2
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