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1154509479
MINDY S STAVETEIG
CROOKSTON, MN
NPI
1154509479
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Former Name
MINDY ANDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MN 10889)
Enumeration Date
2008-02-08
Last Update Date
2018-08-30
Business Address
MINDY S STAVETEIG PA-C
400 S MINNESOTA ST
CROOKSTON, MN 56716-1808
Phone number: 218-281-9100
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Mailing Address
MINDY S STAVETEIG PA-C
400 S MINNESOTA STREET
CROOKSTON, MN 56716
Phone number: 701-587-6000
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