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ELIZABETH TERESE ONGJOCO

Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1487240008

Individual Registrant:
 ELIZABETH TERESE ONGJOCO 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
63782 366TH ST  GIBBON, MN 55335-2143 US
Tel: 612-578-7968  Fax: --

Contact information for business:
63782 366TH ST  GIBBON, MN 55335-2143 US
Tel: 612-578-7968  Fax: --

Registration Information:
NPI: 1487240008
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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