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1669451589
VICKI L ROSE
MANKATO, MN
NPI
1669451589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MN 9544)
Enumeration Date
2006-01-10
Last Update Date
2020-07-15
Business Address
VICKI L ROSE PA
1230 E MAIN ST
MANKATO, MN 56002-8674
Phone number: 507-625-1811
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Mailing Address
VICKI L ROSE PA
PO BOX 8674 1230 E MAIN ST
MANKATO, MN 56002-8674
Phone number: 507-625-1811
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