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1598125064
LAUREN H MASSOPUST
SAINT PAUL, MN
NPI
1598125064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 12044)
Enumeration Date
2016-02-26
Last Update Date
2022-02-02
Business Address
LAUREN H MASSOPUST PA-C
401 PHALEN BLVD
SAINT PAUL, MN 55130-5302
Phone number: 651-254-7820
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Mailing Address
LAUREN H MASSOPUST PA-C
8170 33RD AVE S MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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