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1336334192
SARAH MARIE LANE
MAPLE GROVE, MN
NPI
1336334192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1030)
Enumeration Date
2007-09-13
Last Update Date
2022-11-10
Business Address
SARAH MARIE LANE PA
14500 99TH AVE N
MAPLE GROVE, MN 55369-4730
Phone number: 763-898-1000
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Mailing Address
SARAH MARIE LANE PA
13909 W WAINWRIGHT DR
BOISE, ID 83713-1969
Phone number: 208-389-2213
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