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1558473702
BERNADETTE LEE CLEVENGER
SAINT PAUL, MN
NPI
1558473702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 36514)
Enumeration Date
2006-08-31
Last Update Date
2012-07-19
Business Address
-- BERNADETTE LEE CLEVENGER MD
870 GRAND AVE
SAINT PAUL, MN 55105-3291
Phone number: 651-326-5650
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Mailing Address
-- BERNADETTE LEE CLEVENGER MD
870 GRAND AVE
SAINT PAUL, MN 55105-3291
Phone number: 651-326-5650
Copy
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