LUIS SANTIAGO ESCOBAR ACEVEDO

MANKATO, MN
NPI1922406222
Other NameLUIS SANTIAGO ESCOBAR
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  11704)
Enumeration Date2014-12-18
Last Update Date2022-02-25
Business Address
Mr. LUIS SANTIAGO ESCOBAR ACEVEDO PA-C
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-625-4031
Mailing Address
Mr. LUIS SANTIAGO ESCOBAR ACEVEDO PA-C
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081-5550
Phone number:
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