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1306149539
KATHRYN SUSAN EISENMENGER FUENTES
EAGAN, MN
NPI
1306149539
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Former Name
KATHRYN SUSAN EISENMENGER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 1514)
Enumeration Date
2010-12-09
Last Update Date
2010-12-13
Business Address
Ms. KATHRYN SUSAN EISENMENGER FUENTES PA
2854 HIGHWAY 55 SUITE 130
EAGAN, MN 55121-2156
Phone number: 651-842-3320
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Mailing Address
Ms. KATHRYN SUSAN EISENMENGER FUENTES PA
2854 HIGHWAY 55 SUITE 130
EAGAN, MN 55121-2156
Phone number: 651-842-3320
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