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1194588574
CASEY JAMES MUCKENHIRN
BLOOMINGTON, MN
NPI
1194588574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 11139)
Enumeration Date
2024-01-30
Last Update Date
2024-01-31
Business Address
CASEY JAMES MUCKENHIRN
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435-5435
Phone number: 952-767-4574
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Mailing Address
CASEY JAMES MUCKENHIRN
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435-5435
Phone number: 701-710-1135
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