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1093952400
MICHAEL LEE BORTEL
EAGAN, MN
NPI
1093952400
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Professional Name
MICHAEL LEE BORTEL
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MN LP4991)
Enumeration Date
2009-01-07
Last Update Date
2009-01-07
Business Address
-- MICHAEL LEE BORTEL M.A.
3450 OLEARY LN
EAGAN, MN 55123-2340
Phone number: 651-454-0114
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Mailing Address
-- MICHAEL LEE BORTEL M.A.
3450 OLEARY LN
EAGAN, MN 55123-2340
Phone number: 651-454-0114
Copy
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