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1710541016
KHINE MIRA TIAN
MINNEAPOLIS, MN
NPI
1710541016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 12983)
Enumeration Date
2019-04-23
Last Update Date
2022-04-27
Business Address
Ms. KHINE MIRA TIAN PA-C
800 E 28TH ST # H2100
MINNEAPOLIS, MN 55407-3723
Phone number: 612-863-3963
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Mailing Address
Ms. KHINE MIRA TIAN PA-C
920 E 28TH ST STE 300
MINNEAPOLIS, MN 55407-1195
Phone number:
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