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1427154020
JACK LOUIS CHURCHILL
MINNEAPOLIS, MN
NPI
1427154020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 8747)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
Dr. JACK LOUIS CHURCHILL D.D.S.
825 NICOLLET MALL 1427 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402-2606
Phone number: 612-333-8988
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Mailing Address
Dr. JACK LOUIS CHURCHILL D.D.S.
14615 13TH PL N
PLYMOUTH, MN 55447-4526
Phone number: 763-475-3710
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