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1841210648
MELISSA CHRISTINE FAGEN
SAINT PAUL, MN
NPI
1841210648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 893)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- MELISSA CHRISTINE FAGEN P.A.-C
1965 FORD PKWY
SAINT PAUL, MN 55116-1923
Phone number: 651-696-5509
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Mailing Address
-- MELISSA CHRISTINE FAGEN P.A.-C
5058 250TH AVE
GRANITE FALLS, MN 56241-3665
Phone number: 320-564-4843
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