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Individual

JAIME ELLEN PLAMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
12 1ST AVE S, BUFFALO, MN 55313-1409
(763) 682-7774
Mailing address
204 HEARTLAND RD, BUFFALO, MN 55313

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102949
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102949
DEPARTMENT OF HEALTH
MN
Enumeration date
09/28/2011
Last updated
09/26/2017
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