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1306870225
SUSAN J NISSEN
FARIBAULT, MN
NPI
1306870225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MN 35779)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
SUSAN J NISSEN M.D.
924 1ST ST NE
FARIBAULT, MN 55021-5441
Phone number: 507-333-3300
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Mailing Address
SUSAN J NISSEN M.D.
924 1ST ST NE
FARIBAULT, MN 55021-5441
Phone number: 507-333-3300
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