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Individual

NORA K. THOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10798
MN
363AM0700X
Medical Physician Assistant
1450
MN

Other

Enumeration date
07/29/2010
Last updated
08/22/2011
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