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ELIZABETH TERESE ONGJOCO
Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1487240008
Individual Registrant: ELIZABETH TERESE ONGJOCO
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
63782 366TH ST GIBBON, MN 55335-2143 US
Tel: 612-578-7968 Fax: --
Tel: 612-578-7968 Fax: --
Contact information for business:
63782 366TH ST GIBBON, MN 55335-2143 US
Tel: 612-578-7968 Fax: --
Tel: 612-578-7968 Fax: --
Registration Information:
NPI: 1487240008
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical | ||
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
