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1790451540
KAITLYN MELLESMOEN
EDINA, MN
NPI
1790451540
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Former Name
KAITLYN DAGGETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 13559)
Enumeration Date
2021-08-20
Last Update Date
2022-06-03
Business Address
KAITLYN MELLESMOEN PA-C
7400 FRANCE AVE S # A
EDINA, MN 55435-4738
Phone number: 612-708-6335
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Mailing Address
KAITLYN MELLESMOEN PA-C
7400 FRANCE AVE S STE 100
EDINA, MN 55435-4738
Phone number: 763-537-6000
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