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1164164497
SOFIA NIKOLAYEVNA VASILYEVA
BURNSVILLE, MN
NPI
1164164497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 14242)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-04-07
Last Update Date
2024-01-18
Business Address
SOFIA NIKOLAYEVNA VASILYEVA PA
1000 W. 140TH ST. SUITE #100
BURNSVILLE, MN 55337
Phone number: 952-435-0303
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Mailing Address
SOFIA NIKOLAYEVNA VASILYEVA PA
1000 W. 140TH ST. SUITE #100
BURNSVILLE, MN 55337
Phone number: 952-435-0303
Copy
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