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1700944675
GERARD DAVID LASALLE
LAKEVILLE, MN
NPI
1700944675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MN LP1359)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Mr. GERARD DAVID LASALLE MS LP
17305 CEDAR AVE SOUTH SUITE 230
LAKEVILLE, MN 55044
Phone number: 952-435-4144
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Mailing Address
Mr. GERARD DAVID LASALLE MS LP
7486 157TH ST W #103
APPLE VALLEY, MN 55124
Phone number: 507-581-1800
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