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1104596527
ALEXA PRIVRATSKY
FARGO, ND
NPI
1104596527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ND PAC0905)
Enumeration Date
2021-09-16
Last Update Date
2022-02-22
Business Address
ALEXA PRIVRATSKY PA
700 1ST AVE S
FARGO, ND 58103-1802
Phone number: 701-234-4036
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Mailing Address
ALEXA PRIVRATSKY PA
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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