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1114570298
AMANDA JUNE INAS MIKHAEIL
BAXTER, MN
NPI
1114570298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 6720)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
Mrs. AMANDA JUNE INAS MIKHAEIL PMHNP
14241 GRAND OAKS DR
BAXTER, MN 56425-8749
Phone number: 218-316-3101
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Mailing Address
Mrs. AMANDA JUNE INAS MIKHAEIL PMHNP
1020 4TH ST NE APT 2
STAPLES, MN 56479-3352
Phone number: 218-296-2639
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