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1457512915
DUANE FACCIN PERSON
VIRGINIA, MN
NPI
1457512915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
209800000X Legal Medicine
(Licence: MN PHYSICIAN15930)
Enumeration Date
2008-06-18
Last Update Date
2008-06-18
Business Address
Mr. DUANE FACCIN PERSON MD
910 6TH ST N DULUTH CLINIC VIRGINIA
VIRGINIA, MN 55792
Phone number: 218-741-0150
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Mailing Address
Mr. DUANE FACCIN PERSON MD
16263 HUNTINGTON TERRACE
APPLE VALLEY, MN 55124
Phone number: 952-432-6390
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