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Individual

MRS. JENNIFER LEE-DUPIC OHLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
451 DUNLAP ST N, ST. PAUL, MN 55104-4619
(651) 647-2200
(651) 647-2075
Mailing address
8170 33RD AVE, MS: 21110Q, BLOOMINGTON, MN 55425-4516
(651) 647-2200
(651) 647-2075

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11497
MN

Other

Enumeration date
12/21/2013
Last updated
02/25/2020
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