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1588221311
ELLEN M EDISON
COON RAPIDS, MN
NPI
1588221311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 13055)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2019-05-28
Last Update Date
2020-12-21
Business Address
ELLEN M EDISON PA-C
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433-2583
Phone number: 763-236-9000
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Mailing Address
ELLEN M EDISON PA-C
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-9000
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