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1689723629
JENIFER KAREN DETERT
ST CLOUD, MN
NPI
1689723629
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Former Name
JENIFER KAREN VETTLESON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9545)
Enumeration Date
2007-01-09
Last Update Date
2007-08-28
Business Address
Mrs. JENIFER KAREN DETERT P.A.
CENTRAL MINNESOTA EMERGENCY PHYSICIANS 1406 6TH AVENUE NORTH
ST CLOUD, MN 56303-1901
Phone number: 320-255-5656
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Mailing Address
Mrs. JENIFER KAREN DETERT P.A.
9808 JENNY LN
SAINT JOSEPH, MN 56374-9692
Phone number: 320-363-1150
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