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1356800874
MARK TATERA
ROCHESTER, MN
NPI
1356800874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 14069)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2019-03-14
Last Update Date
2022-08-30
Business Address
MARK TATERA PA-C
200 1ST ST SW
ROCHESTER, MN 55905-6860
Phone number: 507-284-2511
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Mailing Address
MARK TATERA PA-C
200 1ST ST SW
ROCHESTER, MN 55905-6860
Phone number: 507-284-2511
Copy
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