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1073872503
BRIEANNE KELSEY BORNTRAGER
SAVAGE, MN
NPI
1073872503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
125K00000X Advanced Practice Dental Therapist
(Licence: MN DT15)
Enumeration Date
2012-05-03
Last Update Date
2016-04-07
Business Address
Mrs. BRIEANNE KELSEY BORNTRAGER ADT
13899 HWY 13 S FRNT RD
SAVAGE, MN 55378-2135
Phone number: 763-218-0597
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Mailing Address
Mrs. BRIEANNE KELSEY BORNTRAGER ADT
13899 HWY 13 S FRNT RD
SAVAGE, MN 55378-2135
Phone number: 763-218-0597
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