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1912219130
AMANDA SUE BLONIGEN
FERGUS FALLS, MN
NPI
1912219130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MN L69547-3)
Enumeration Date
2010-07-02
Last Update Date
2010-07-02
Business Address
-- AMANDA SUE BLONIGEN
106 4TH AVE N.
FERGUS FALLS, MN 56537-1034
Phone number: 218-998-3778
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Mailing Address
-- AMANDA SUE BLONIGEN
3332 OAK STREET APT. G
BRAINERD, MN 56401
Phone number: 320-491-4984
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