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1255300091
LANCE JEFFREY BEEBOUT
ALEXANDRIA, MN
NPI
1255300091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9887)
Enumeration Date
2006-03-15
Last Update Date
2024-10-21
Business Address
Mr. LANCE JEFFREY BEEBOUT PAC
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308-3734
Phone number: 320-762-1144
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Mailing Address
Mr. LANCE JEFFREY BEEBOUT PAC
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308-3734
Phone number: 320-762-1144
Copy
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