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Individual

LAUREN GIMMESTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
430 GREAT OAK DR, WAITE PARK, MN 56387-2504
(320) 203-2400
Mailing address
PO BOX 1309, MINNEAPOLIS, MN 55440-1309
(763) 567-8542

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
03/30/2021
Last updated
03/30/2021
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