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1326509753
AMANDA MARIE WALD
COON RAPIDS, MN
NPI
1326509753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-03-28
Last Update Date
2022-05-19
Business Address
AMANDA MARIE WALD PA-C
3833 COON RAPIDS BLVD NW STE 100
COON RAPIDS, MN 55433-2697
Phone number: 763-427-8320
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Mailing Address
AMANDA MARIE WALD PA-C
4225 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422-4215
Phone number: 763-427-8320
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