Cherokee Rose Lee Rova PAC

NPI 1578863924 - Physician Assistant - 363A00000X

NPI Details
NPI 1578863924
Gender Female
Enumeration Date 11/01/2010
Last Updated 01/28/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
1101 9TH ST N
VIRGINIA MN, 55792-2329, US
Phone (218) 741-0150
Fax (218) 741-7892
Business Location
1101 9TH ST N
VIRGINIA MN, 55792-2329, US
Phone (218) 741-0150
Fax (218) 741-7892
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number 11206
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According to our database, Cherokee Rose Lee Rova PAC NPI is 1578863924, taxonomy code is 363A00000X and license number is 11206, license state is located at Minnesota. Cherokee Rose Lee Rova PAC physically located at 1101 9th St N, Virginia MN, 55792-2329. NPI Number Cherokee Rose Lee Rova PAC has the Individual type.

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1578863924 NPI number is provided on an as is basis without warranty of any kind. 1578863924 is maintained by the National Plan & Provider Enumeration System. The contents of Cherokee Rose Lee Rova PAC are for informational purposes only.