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1255969150
ISAAC WAALEN
MINNEAPOLIS, MN
NPI
1255969150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MN 13287)
Enumeration Date
2020-03-28
Last Update Date
2020-03-28
Business Address
ISAAC WAALEN
5420 CIRCLE DOWN
MINNEAPOLIS, MN 55416-1312
Phone number: 651-247-9016
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Mailing Address
ISAAC WAALEN
5420 CIRCLE DOWN
MINNEAPOLIS, MN 55416-1312
Phone number: 651-247-9016
Copy
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