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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 |
