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1215993811
MARY MCENELLY
THIEF RIVER FALLS, MN
NPI
1215993811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9315)
Enumeration Date
2006-04-22
Last Update Date
2007-07-08
Business Address
Ms. MARY MCENELLY PA C
120 LABREE AVENUE SOUTH NORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISION
THIEF RIVER FALLS, MN 56701
Phone number: 218-683-4351
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Mailing Address
Ms. MARY MCENELLY PA C
120 LABREE AVENUE SOUTH NORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISION
THIEF RIVER FALLS, MN 56701
Phone number: 218-683-4351
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