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1609109982
JESSICA ANNE FASHANT-PETERSON
EDEN PRAIRIE, MN
NPI
1609109982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN R161940-3)
Enumeration Date
2009-09-17
Last Update Date
2017-05-22
Business Address
-- JESSICA ANNE FASHANT-PETERSON CNP
6452 CITY WEST PKWY
EDEN PRAIRIE, MN 55344-3245
Phone number: 952-999-0333
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Mailing Address
-- JESSICA ANNE FASHANT-PETERSON CNP
6452 CITY WEST PARKWAY
EDEN PRAIRIE, MN 55344
Phone number: 952-999-0333
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