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1922406222
LUIS SANTIAGO ESCOBAR ACEVEDO
MANKATO, MN
NPI
1922406222
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Other Name
LUIS SANTIAGO ESCOBAR
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 11704)
Enumeration Date
2014-12-18
Last Update Date
2022-02-25
Business Address
MR. LUIS SANTIAGO ESCOBAR ACEVEDO PA-C
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-625-4031
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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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