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1932938339
WYATT JOHN ORTH
BAXTER, MN
NPI
1932938339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 11917)
Enumeration Date
2024-08-01
Last Update Date
2024-11-14
Business Address
WYATT JOHN ORTH DNP, CNP
7350 CLEARWATER RD
BAXTER, MN 56425-8463
Phone number: 218-454-5050
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Mailing Address
WYATT JOHN ORTH DNP, CNP
212 4TH AVE S
SAUK RAPIDS, MN 56379-1825
Phone number: 320-267-0523
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