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Dr. Madaline G. Barnes

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NPI Number Detailed Information

Provider Information:

Name: Dr. Madaline G. Barnes
Gender: F
Provider License Number If Given: LP3458

NPI Information:

NPI: 1912992447
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 3/17/2018

Provider Business Mailing Address:

Address: 120 LABREE AVE S
Thief River Falls, MN 56701
Phone Number: (651) 681-4356
Fax Number:

Provider Business Practice Location Address:

Address: 120 LABREE AVE S
Thief River Falls, MN 56701
Phone Number: (651) 681-4356
Fax Number:

Provider Taxonomy:

Primary: 103TC0700X
Secondary (if any):
State: MN

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