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1619453115
JESSICA MAE MUDGETT
CROSBY, MN
NPI
1619453115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN F06181406)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
JESSICA MAE MUDGETT
320 E MAIN ST
CROSBY, MN 56441-1645
Phone number: 218-546-7000
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Mailing Address
JESSICA MAE MUDGETT
12668 43RD AVE SW
PILLAGER, MN 56473-2405
Phone number: 218-839-1484
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