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1255442091
GREGORY R LIEBSCH
BLAINE, MN
NPI
1255442091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 10305)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. GREGORY R LIEBSCH DDS
10961 CLUB PARKWAY NE SUITE 240
BLAINE, MN 55449
Phone number: 763-780-1292
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Mailing Address
Dr. GREGORY R LIEBSCH DDS
PO BOX 1309 MAIL CODE 21113A
MINNEAPOLIS, MN 55440-1309
Phone number: 952-883-5151
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