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1487857249
PAM J. WAAGE
SAINT CLOUD, MN
NPI
1487857249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN R1041631)
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
-- PAM J. WAAGE CPNP
1245 15TH ST N
SAINT CLOUD, MN 56303-1802
Phone number: 320-253-5220
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Mailing Address
-- PAM J. WAAGE CPNP
6997 47TH AVE SE
SAINT CLOUD, MN 56304-9583
Phone number: 320-529-0051
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