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1366814139
JOSEPH JAMES LEVEILLE
BLAINE, MN
NPI
1366814139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 11959)
Enumeration Date
2015-10-20
Last Update Date
2017-10-30
Business Address
JOSEPH JAMES LEVEILLE
1500 109TH AVE NE
BLAINE, MN 55449-4670
Phone number: 218-310-9719
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Mailing Address
JOSEPH JAMES LEVEILLE
519 W 22ND ST
MINNEAPOLIS, MN 55405
Phone number: 218-310-9719
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