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1164420675
GARY ROBERT JERNBERG
MANKATO, MN
NPI
1164420675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MN 8671)
Enumeration Date
2005-07-08
Last Update Date
2011-01-28
Business Address
Dr. GARY ROBERT JERNBERG D.D.S., M.S.D.
99 NAVAHO AVE SUITE 102
MANKATO, MN 56001-4876
Phone number: 507-345-7537
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Mailing Address
Dr. GARY ROBERT JERNBERG D.D.S., M.S.D.
99 NAVAHO AVE SUITE 102
MANKATO, MN 56001-4876
Phone number: 507-345-7537
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