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1326023060
JACK VICTOR CARLISLE
GRAND RAPIDS, MN
NPI
1326023060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 31750)
Enumeration Date
2005-12-14
Last Update Date
2013-02-12
Business Address
Dr. JACK VICTOR CARLISLE MD
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744-8648
Phone number: 218-326-5000
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Mailing Address
Dr. JACK VICTOR CARLISLE MD
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744-8648
Phone number: 218-326-5000
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