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1114547205
JESSICA MARIE BORTNOVA
ROCHESTER, MN
NPI
1114547205
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Former Name
JESSICA MARIE TARNOWSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
170300000X Genetic Counselor, MS
(Licence: MN 1215)
Enumeration Date
2020-04-20
Last Update Date
2020-11-20
Business Address
JESSICA MARIE BORTNOVA LGC
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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Mailing Address
JESSICA MARIE BORTNOVA LGC
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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