AMANDA LYNN FORTIER

COON RAPIDS, MN
NPI1053193557
Former NameAMANDA LYNN KAUKOLA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14693)
Enumeration Date2023-10-18
Last Update Date2023-10-18
Business Address
AMANDA LYNN FORTIER PA-C
11850 BLACKFOOT ST NW STE 470
COON RAPIDS, MN 55433-2773
Phone number: 651-999-6800
Mailing Address
AMANDA LYNN FORTIER PA-C
3001 METRO DR STE 460
BLOOMINGTON, MN 55425-1548
Phone number: 651-999-7022
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