KENDALL CLEVENGER

PINE CITY, MN
NPI1154654218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  9635)
Enumeration Date2009-09-08
Last Update Date2009-09-08
Business Address
KENDALL CLEVENGER PA
510 2ND ST SE
PINE CITY, MN 55063-1706
Phone number: 320-629-6721
Mailing Address
KENDALL CLEVENGER PA
13709 BISTRAM RD
GRANTSBURG, WI 54840-7237
Phone number: 715-463-3816
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