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1912925587
MICHELLE LYNN LOUR
SAINT CLOUD, MN
NPI
1912925587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 10612)
Enumeration Date
2006-07-18
Last Update Date
2009-09-15
Business Address
-- MICHELLE LYNN LOUR PA C
1555 NORTHWAY DR
SAINT CLOUD, MN 56303-4555
Phone number: 320-259-4100
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Mailing Address
-- MICHELLE LYNN LOUR PA C
1555 NORTHWAY DR
SAINT CLOUD, MN 56303-4555
Phone number: 320-259-4100
Copy
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