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1568960292
OMAR FERNANDES
EAGAN, MN
NPI
1568960292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 12603)
Enumeration Date
2018-01-29
Last Update Date
2021-03-17
Business Address
OMAR FERNANDES PA-C, MSPAS, MPH
1654 DIFFLEY RD STE 100
EAGAN, MN 55122-2237
Phone number: 651-641-3900
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Mailing Address
OMAR FERNANDES PA-C, MSPAS, MPH
8170 33RD AVE S MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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