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1518021120
STANLEY CYRIL WORM
WILLMAR, MN
NPI
1518021120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 8968)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
-- STANLEY CYRIL WORM Physician Extender R
101 WILLMAR AVE SW AFFILIATED COMMUNITY MEDICAL CENTERS
WILLMAR, MN 56201
Phone number: 320-231-5000
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Mailing Address
-- STANLEY CYRIL WORM Physician Extender R
101 WILLMAR AVE SW ACMC
WILLMAR, MN 56201
Phone number: 320-231-5000
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