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1447349857
RANDY MANCUSO
MINNEAPOLIS, MN
NPI
1447349857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 8838)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Mr. RANDY MANCUSO OPA-C
2512 S 7TH ST SUITE R102 UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55454-1404
Phone number: 612-273-9400
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Mailing Address
Mr. RANDY MANCUSO OPA-C
2512 S 7TH ST SUITE R102 UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55454-1404
Phone number: 612-273-9400
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