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1205206117
ANITA BAGSTAD
PARK RAPIDS, MN
NPI
1205206117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN CNP 4147)
Enumeration Date
2015-10-05
Last Update Date
2015-12-28
Business Address
-- ANITA BAGSTAD APRN,CNP
705 PLEASANT AVE S
PARK RAPIDS, MN 56470-1440
Phone number: 218-732-2800
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Mailing Address
-- ANITA BAGSTAD APRN,CNP
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-732-2800
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