Individual
PAIGE ELLEFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 MEADOWLANDS DR STE 1&2, WHITE BEAR LAKE, MN 55127-2339
(612) 315-1976
Mailing address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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