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1659446276
DAVID BURDETTE MELLBERG
PLYMOUTH, MN
NPI
1659446276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN LP1979)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
-- DAVID BURDETTE MELLBERG Ph.D., L.P.
12805 HIGHWAY 55 SUITE 211
PLYMOUTH, MN 55441-3859
Phone number: 763-550-9005
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Mailing Address
-- DAVID BURDETTE MELLBERG Ph.D., L.P.
12805 HIGHWAY 55 SUITE 211
PLYMOUTH, MN 55441-3859
Phone number: 763-550-9005
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