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1043425044
RAYMOND CHARLES SODERLUND
MINNEAPOLIS, MN
NPI
1043425044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: MN 8847)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
RAYMOND CHARLES SODERLUND PA
2220 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1321
Phone number: 612-371-1600
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Mailing Address
RAYMOND CHARLES SODERLUND PA
3021 WILSON ST NE
MINNEAPOLIS, MN 55418-2371
Phone number: 612-782-8323
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