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1003426230
SEAN DEANE LEJONVARN
CHASKA, MN
NPI
1003426230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 7663)
Enumeration Date
2020-08-03
Last Update Date
2023-04-03
Business Address
SEAN DEANE LEJONVARN CNP
1200 CHASKA CREEK WAY STE 200
CHASKA, MN 55318-2749
Phone number: 763-232-1209
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Mailing Address
SEAN DEANE LEJONVARN CNP
1936 MERIDIAN CURV
CARVER, MN 55315-4418
Phone number: 763-232-1209
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