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1326887753
LISA CAROL CARRLSON
DETROIT LAKES, MN
NPI
1326887753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MN 11559)
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
LISA CAROL CARRLSON PMHNP
928 8TH ST SE # SE5
DETROIT LAKES, MN 56501-2839
Phone number: 218-847-1676
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Mailing Address
LISA CAROL CARRLSON PMHNP
928 8TH ST SE
DETROIT LAKES, MN 56501-2839
Phone number:
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