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Individual
ALYSSA JEAN BARKMAN
Active
Individual
ALYSSA JEAN BARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11044
LICENSE PHYSICIAN ASSISTANT
MN
Enumeration date
11/14/2011
Last updated
05/11/2017
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