Individual
JULIE RENEE CARLSON-AMIRAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 W 98TH ST, BLOOMINGTON, MN 55420-4773
(952) 885-6060
Mailing address
600 W 98TH ST, BLOOMINGTON, MN 55420-4773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9556
MN
Other
Enumeration date
04/11/2006
Last updated
05/16/2008
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