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Gloria Elaine Deones, PA-C

Physician Assistant in Bloomington, MN. Individual provider (NPI-1).

NPI number1174728331
StatusActive
Last updated in NPPESJan 23, 2012

Details

NPI
1174728331
Entity type
Individual (NPI-1)
Name
Gloria Elaine Deones
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2007
Last updated
Jan 23, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10877MNYes
363A00000X Physician AssistantPA01220OR

Practice location

715 E 78th St
Bloomington, MN 55420-1397

Phone 612-873-7644 · Fax 952-854-1272

Mailing address

701 Park Ave # G2
Minneapolis, MN 55415-1623

Phone 612-873-4401 · Fax 612-904-4401

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