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1366987901
NISHA JAIN
MANKATO, MN
NPI
1366987901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D14320)
Additional Taxonomies
122300000X Dentist
(Licence: PA DS041124)
Enumeration Date
2017-01-05
Last Update Date
2019-10-30
Business Address
NISHA JAIN DDS
101 MARTIN LUTHER KING DR
MANKATO, MN 56001
Phone number: 507-594-6500
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Mailing Address
NISHA JAIN DDS
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-594-6500
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