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Jean Frances Plested

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NPI Number Detailed Information

Provider Information:

Name: Jean Frances Plested
Gender: F
Provider License Number If Given: R0773007

NPI Information:

NPI: 1285628784
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 8/29/2007

Provider Business Mailing Address:

Address: 16619 GILBERT LAKE RD
Brainerd, MN 56401
Phone Number: 2188298618
Fax Number:

Provider Business Practice Location Address:

Address: 900 NICOLLET MALL
Minneapolis, MN 55403
Phone Number: 6126597111
Fax Number:

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any):
State: MN

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