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Individual

GEORGE PETRANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LP

Contact information

Practice address
911 18TH ST N, SAINT CLOUD, MN 56303-1203
(320) 650-1550
(320) 650-1528
Mailing address
PO BOX 2390, SAINT CLOUD, MN 56302-2390
(320) 650-1550
(320) 650-1528

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2000
MN

Other

Enumeration date
03/16/2007
Last updated
07/08/2007
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