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1194799981
MARK ALLEN RUDEL
SAINT CLOUD, MN
NPI
1194799981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9672)
Enumeration Date
2006-02-16
Last Update Date
2009-12-22
Business Address
-- MARK ALLEN RUDEL PA
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6480
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Mailing Address
-- MARK ALLEN RUDEL PA
5732 EAGLE CT
ST CLOUD, MN 56303
Phone number: 320-240-2344
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