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1356342505
JERRY KENT BRUNSOMAN
MAPLEWOOD, MN
NPI
1356342505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MN D6950)
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
Dr. JERRY KENT BRUNSOMAN D.D.S., M.S.
1774 COPE AVE E SUITE 140
MAPLEWOOD, MN 55109-2662
Phone number: 651-774-9611
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Mailing Address
Dr. JERRY KENT BRUNSOMAN D.D.S., M.S.
1774 COPE AVE E SUITE 140
MAPLEWOOD, MN 55109-2662
Phone number: 651-774-9611
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