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1407048853
LEANN CAROLL BAIN
WOODBURY, MN
NPI
1407048853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: MN A3972)
Enumeration Date
2007-08-09
Last Update Date
2007-08-09
Business Address
MRS. LEANN CAROLL BAIN RDA
1789 WOODLANE DR SUITE D
WOODBURY, MN 55125-3910
Phone number: 651-738-1284
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Mailing Address
MRS. LEANN CAROLL BAIN RDA
1789 WOODLANE DR SUITE D
WOODBURY, MN 55125-3910
Phone number: 651-738-1284
Copy
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