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1730131228
MARK E KOHLHASE
WYOMING, MN
NPI
1730131228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9066)
Enumeration Date
2006-05-16
Last Update Date
2007-07-08
Business Address
-- MARK E KOHLHASE PA-C
5200 FAIRVIEW BLVD
WYOMING, MN 55092-8013
Phone number: 651-982-7659
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Mailing Address
-- MARK E KOHLHASE PA-C
10490 261ST ST
CHISAGO CITY, MN 55013-5201
Phone number:
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