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1124125372
MATTHEW R NELSON
BLAINE, MN
NPI
1124125372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 11454)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Dr. MATTHEW R NELSON DDS
10961 CLUB PARKWAY NE SUITE 240
BLAINE, MN 55449
Phone number: 763-780-1292
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Mailing Address
Dr. MATTHEW R NELSON DDS
PO BOX 1309 MAIL CODE 21113A
MINNEAPOLIS, MN 55440-1309
Phone number: 952-883-5151
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