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1760868053
AUGUSTA RUTH NEISEN
SAINT PAUL, MN
NPI
1760868053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 11879)
Enumeration Date
2015-08-10
Last Update Date
2021-03-11
Business Address
AUGUSTA RUTH NEISEN PA-C
225 SMITH AVE N STE. 400
SAINT PAUL, MN 55102-2533
Phone number: 651-290-0133
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Mailing Address
AUGUSTA RUTH NEISEN PA-C
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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