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1013592708
LEIF PER-ALDEN SUNDBERG
WHITE BEAR LAKE, MN
NPI
1013592708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 13719)
Enumeration Date
2021-03-14
Last Update Date
2021-07-12
Business Address
LEIF PER-ALDEN SUNDBERG PA-C
4786 BANNING AVE
WHITE BEAR LAKE, MN 55110-3264
Phone number: 651-426-6402
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Mailing Address
LEIF PER-ALDEN SUNDBERG PA-C
2025 SLOAN PL STE 35
SAINT PAUL, MN 55117-2092
Phone number: 651-772-1572
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