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1639102825
ROBERTA VAN AMBER PRIGGE
MAPLE GROVE, MN
NPI
1639102825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine Sports Medicine
(Licence: MN 39190)
Enumeration Date
2006-07-09
Last Update Date
2021-03-11
Business Address
ROBERTA VAN AMBER PRIGGE
9555 UPLAND LN N
MAPLE GROVE, MN 55369-4485
Phone number: 952-831-8742
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Mailing Address
ROBERTA VAN AMBER PRIGGE
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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