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1083196927
TIFFANY J MELLANG
ROSEVILLE, MN
NPI
1083196927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 1146349)
Enumeration Date
2018-09-06
Last Update Date
2021-07-20
Business Address
TIFFANY J MELLANG
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113-3905
Phone number: 651-292-2000
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Mailing Address
TIFFANY J MELLANG
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113-3905
Phone number: 651-292-2000
Copy
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