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Individual

JACQUELINE S MATTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
Mailing address
20674 140TH ST, VERNDALE, MN 56481-2208
(218) 639-5492

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15422
MN

Other

Enumeration date
02/03/2025
Last updated
08/22/2025
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