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Individual

ELIZABETH HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
14440 28TH PL N, PLYMOUTH, MN 55447-4846
(612) 444-3000
Mailing address
14440 28TH PL N, PLYMOUTH, MN 55447-4846

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/26/2023
Last updated
08/07/2024
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