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1598728123
SANDRA LARA
HAWLEY, MN
NPI
1598728123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D11832)
Enumeration Date
2006-04-06
Last Update Date
2007-07-08
Business Address
-- SANDRA LARA DDS
520 MAIN ST
HAWLEY, MN 56549-4726
Phone number: 218-483-1339
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Mailing Address
-- SANDRA LARA DDS
PO BOX 849 520 MAIN STREET
HAWLEY, MN 56549-0849
Phone number: 218-483-1339
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