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1124891858
KATIE ANN MATTILA
ROCHESTER, MN
NPI
1124891858
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Former Name
KATIE ANN LONGENECKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN 11177)
Enumeration Date
2023-11-03
Last Update Date
2024-03-20
Business Address
KATIE ANN MATTILA NP
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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Mailing Address
KATIE ANN MATTILA NP
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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