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Individual

MS. ALEATHEA RAE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
20 SE NINTH STREET, CENTRACARE HEALTH SYSTEM-LONG PRAIRIE, LONG PRAIRIE, MN 56347-1404
(320) 732-2141
(320) 732-6913
Mailing address
20 SE NINTH STREET, CENTRACARE HEALTH SYSTEM-LONG PRAIRIE, LONG PRAIRIE, MN 56347-1404
(320) 732-2141
(320) 732-6913

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10212
MN
363AM0700X
Medical Physician Assistant
2089
WI

Other

Enumeration date
01/25/2007
Last updated
05/08/2012
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