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1275544348
MARY SUE LABERNIK
SAINT CLOUD, MN
NPI
1275544348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MN r044173-7)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
Mrs. MARY SUE LABERNIK NP
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6322
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Mailing Address
Mrs. MARY SUE LABERNIK NP
10 CLOVER CT
SAINT CLOUD, MN 56301-4954
Phone number: 320-654-0242
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