Individual
PAUL DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
73650 345TH ST, SAINT JAMES, MN 56081-5555
(507) 351-7615
Mailing address
73650 345TH ST, SAINT JAMES, MN 56081-5555
(507) 351-7615
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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