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1548232713
ALLEN E FONGEMIE
ST PAUL, MN
NPI
1548232713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 22681)
Enumeration Date
2006-02-02
Last Update Date
2007-07-08
Business Address
ALLEN E FONGEMIE MD
2500 COMO AVENUE MAIL STOP 31100A
ST PAUL, MN 55108-1460
Phone number: 651-641-6200
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Mailing Address
ALLEN E FONGEMIE MD
8100 34TH AVE S
BLOOMINGTON, MN 55425-1672
Phone number: 952-883-5463
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