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Individual

ALISA M DURAN

Active
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Individual

ALISA M DURAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42863
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
826644100
MN
Enumeration date
02/03/2006
Last updated
06/24/2025
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