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1063553881
STEPHEN ROBERT LEITGEN
BLOOMINGTON, MN
NPI
1063553881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MN 9940)
Enumeration Date
2007-02-12
Last Update Date
2007-08-28
Business Address
Dr. STEPHEN ROBERT LEITGEN DDS
7324 BUSH LAKE DR
BLOOMINGTON, MN 55438-1682
Phone number: 952-303-3672
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Mailing Address
Dr. STEPHEN ROBERT LEITGEN DDS
7324 BUSH LAKE DR
BLOOMINGTON, MN 55438-1682
Phone number: 952-303-3672
Copy
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