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1003806027
MICHAEL NELSON
PLYMOUTH, MN
NPI
1003806027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN d12133)
Enumeration Date
2005-10-21
Last Update Date
2007-07-08
Business Address
-- MICHAEL NELSON
13550 26TH AVE N
PLYMOUTH, MN 55441-3650
Phone number: 952-929-0641
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Mailing Address
-- MICHAEL NELSON
5100 EDEN AVE
EDINA, MN 55436-2337
Phone number: 952-929-0641
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