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1699841908
LISA ANNE RUNCK
MANKATO, MN
NPI
1699841908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MN 11289)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
-- LISA ANNE RUNCK DDS. MS
120 E MAIN ST
MANKATO, MN 56001-3501
Phone number: 507-388-2989
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Mailing Address
-- LISA ANNE RUNCK DDS. MS
120 E MAIN ST
MANKATO, MN 56001-3501
Phone number: 507-388-2989
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