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1265940795
CLARK ETTEN
BLOOMINGTON, MN
NPI
1265940795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
CLARK ETTEN PA-C
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435-5435
Phone number: 952-835-9880
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Mailing Address
CLARK ETTEN PA-C
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435-5435
Phone number: 952-835-9880
Copy
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