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1316186877
CHARLES FIELDS
BAXTER, MN
NPI
1316186877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN 0231)
Enumeration Date
2009-02-06
Last Update Date
2009-02-06
Business Address
-- CHARLES FIELDS MA, LP
13021 EVERGREEN DR
BAXTER, MN 56425-7439
Phone number: 218-829-9307
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Mailing Address
-- CHARLES FIELDS MA, LP
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number:
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