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1275952749
AMANDA NIEMANN
BRAINERD, MN
NPI
1275952749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 11528)
Enumeration Date
2014-04-14
Last Update Date
2016-01-08
Business Address
-- AMANDA NIEMANN
2024 S 6TH ST
BRAINERD, MN 56401-4529
Phone number: 218-828-7100
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Mailing Address
-- AMANDA NIEMANN
523 N 3RD ST
BRAINERD, MN 56401-3054
Phone number: 218-829-2861
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