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Individual

CASSANDRA A. AMIOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
1245 15TH ST N, SAINT CLOUD, MN 56303-1802
(320) 203-2317
(320) 203-2414
Mailing address
1245 15TH ST N, SAINT CLOUD, MN 56303-1802
(320) 203-2317
(320) 203-2414

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10364
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10364
LICENSE NUMBER
MN
Enumeration date
02/20/2008
Last updated
02/20/2008
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