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Individual

CRISTINA MAE MASTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1527 BROADWAY ST, ALEXANDRIA, MN 56308
(218) 205-4861
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72981
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/16/2019
Last updated
09/03/2024
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