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1396465738
LAUREN MALLAK
BURNSVILLE, MN
NPI
1396465738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 9427)
Enumeration Date
2022-08-29
Last Update Date
2022-10-14
Business Address
LAUREN MALLAK
14000 FAIRVIEW DR
BURNSVILLE, MN 55337-5713
Phone number: 952-993-8700
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Mailing Address
LAUREN MALLAK
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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