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Case Number and Status

Case Number: I-200-16032-828135

Submitted on:

CERTIFIED

on:

Employment

From: 2016-07-30

To: 2019-07-30 (1,095 days)

Address

712 Casecade Street S
Fergus Falls, MN 56537

Phone

2187368090


Attorney Summary

Location
Calabasas Hills, CA

Job Summary

Job Title
Physician
City and State
Fergus Falls, MN
County
Otter Tail

Soc Code
29-1069.00
Naics Code
Industry Code
6221