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Individual

KARLA RAE JUVONEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
14701 VICTOR HUGO BLVD N, HUGO, MN 55038-4561
(651) 767-1900
(651) 767-1901
Mailing address
8170 33RD AVE, MS: 21110Q, BLOOMINGTON, MN 55425-4516
(651) 767-1900
(651) 767-1901

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9412
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143396
UCARE #
MN
05
877918000
MN
01
HP27780
HEALTHPARTNERS #
MN
Enumeration date
06/20/2006
Last updated
11/15/2016
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