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Individual

CATHERINE MARIE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
46637 465TH LN, PO BOX 112, GLENCOE, MN 55336-5269
(320) 864-3491

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9231
MN
363A00000X
Physician Assistant
PA10003181
WA

Other

Enumeration date
06/01/2007
Last updated
07/27/2007
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