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JESSICA BUTANIS DO NPI 1003220799

Classification
Internal Medicine
Type
License No.
61656
License State
MN
Certified
Location

Additional Identifiers

Medical School
OTHER
Graduation Year
2014
Identifier
Type
State
Identifier: H400413191
Type: OTHER (01)
State: MN
Identifier: 1003220799
Type: MEDICAID (05)
State: MN

Hospital & Clinics

Business Name
Centracare Clinic
Company Size
Revenue
Business Address
610 30TH AVE W, ALEXANDRIA, MN, 563083426
Business Phone
320-763-5123
Mailing Address
610 30TH AVENUE WEST, ALEXANDRIA, MN, 56308
Mailing Phone
320-763-5123
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