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1285639815
KELLY K KOEHNEN
MINNEAPOLIS, MN
NPI
1285639815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 10985)
Enumeration Date
2005-06-20
Last Update Date
2007-07-08
Business Address
Dr. KELLY K KOEHNEN D.D.S.
1406 W LAKE ST STE 100
MINNEAPOLIS, MN 55408-2653
Phone number: 612-827-3736
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Mailing Address
Dr. KELLY K KOEHNEN D.D.S.
1406 W LAKE ST STE 100
MINNEAPOLIS, MN 55408-2653
Phone number: 612-827-3736
Copy
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