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1902001134
THOMAS W LIESTER
BUFFALO, MN
NPI
1902001134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN temp 987,)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- THOMAS W LIESTER P.A.-C.
1700 HIGHWAY 25 N
BUFFALO, MN 55313-1930
Phone number: 763-682-1313
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Mailing Address
-- THOMAS W LIESTER P.A.-C.
1700 HIGHWAY 25 N
BUFFALO, MN 55313-1930
Phone number: 763-682-1313
Copy
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