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1598768434
KELLY FIDER
MINNEAPOLIS, MN
NPI
1598768434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9594)
Enumeration Date
2005-05-24
Last Update Date
2007-07-08
Business Address
-- KELLY FIDER PA-C
8100 NORTHLAND DR
MINNEAPOLIS, MN 55431-4800
Phone number: 952-831-8742
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Mailing Address
-- KELLY FIDER PA-C
6465 WAYZATA BLVD SUITE 315
ST LOUIS PARK, MN 55426-1728
Phone number:
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