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1861441255
PAUL BRIAN MENCKE
SAINT PAUL, MN
NPI
1861441255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R080775-3)
Enumeration Date
2006-05-10
Last Update Date
2012-08-23
Business Address
-- PAUL BRIAN MENCKE CRNA
559 CAPITOL BLVD
SAINT PAUL, MN 55103-2101
Phone number: 651-232-2000
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Mailing Address
-- PAUL BRIAN MENCKE CRNA
8838 LAKE JANE TRL N
LAKE ELMO, MN 55042-8518
Phone number: 651-770-5258
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