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Individual

MAUREEN KAY JAQUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
(763) 236-3026
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56342
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/03/2010
Last updated
06/18/2024
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