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Individual

JENNIFER C CLEARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5705 W OLD SHAKOPEE RD STE 150, BLOOMINGTON, MN 55437-3126
(612) 871-1145
(612) 870-5491
Mailing address
4917 EDEN AVE APT 225, EDINA, MN 55424-2201
(612) 871-1145
(612) 870-5491

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13713
MN

Other

Enumeration date
07/02/2021
Last updated
09/16/2025
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