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1366492076
MARY BETH LARDIZABAL
SAINT PAUL, MN
NPI
1366492076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MN 39116)
Enumeration Date
2006-05-11
Last Update Date
2021-03-11
Business Address
MARY BETH LARDIZABAL DO
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102-2481
Phone number: 651-241-5959
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Mailing Address
MARY BETH LARDIZABAL DO
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-4813
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