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1154031334
JORDYN LOUISE MASSOP
ST LOUIS PARK, MN
NPI
1154031334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 14336)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-11-29
Last Update Date
2023-03-16
Business Address
JORDYN LOUISE MASSOP PA-C
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426-4702
Phone number: 612-242-4285
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Mailing Address
JORDYN LOUISE MASSOP PA-C
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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