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1417276304
RYAN J. BAKKO
WACONIA, MN
NPI
1417276304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MN 10732)
Enumeration Date
2010-05-18
Last Update Date
2016-02-09
Business Address
-- RYAN J. BAKKO MS, PA-C
560 S MAPLE ST SUITE 200
WACONIA, MN 55387-1733
Phone number: 952-442-2163
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Mailing Address
-- RYAN J. BAKKO MS, PA-C
4200 DAHLBERG DR SUITE 300
GOLDEN VALLEY, MN 55422-4840
Phone number: 952-512-5600
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