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1952870339
ELLYN MARIE PHEARMAN
SAINT CLOUD, MN
NPI
1952870339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 12813)
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
Ms. ELLYN MARIE PHEARMAN PA
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303-4872
Phone number: 320-202-8949
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Mailing Address
Ms. ELLYN MARIE PHEARMAN PA
85 S UNION BLVD APT 514
DENVER, CO 80228-2289
Phone number: 206-551-7626
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