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1003907122
DOUGLAS WILFORD BURGESS
MANKATO, MN
NPI
1003907122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN 7404)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
-- DOUGLAS WILFORD BURGESS DDS PA
730 MADISON AVENUE
MANKATO, MN 56001
Phone number: 507-625-7550
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Mailing Address
-- DOUGLAS WILFORD BURGESS DDS PA
730 MADISON AVENUE
MANKATO, MN 56001
Phone number: 507-625-7550
Copy
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