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1174199004
LISA LE
SHAKOPEE, MN
NPI
1174199004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
LISA LE
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379-2829
Phone number: 612-416-1301
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Mailing Address
LISA LE
893 CORTLAND DR
APPLE VALLEY, MN 55124-8963
Phone number:
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