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Individual

MR. JAMES RICHARD TARCON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 258-3090
(320) 258-3095
Mailing address
11701 CENTRAL PARK WAY APT 1231, MAPLE GROVE, MN 55369-3118
(414) 344-8383

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2284
MN

Other

Enumeration date
01/14/2019
Last updated
01/21/2019
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