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1730551904
LAURA BURBANK
ST LOUIS PARK, MN
NPI
1730551904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 3208)
Enumeration Date
2015-10-27
Last Update Date
2015-10-27
Business Address
LAURA BURBANK RD, LD
5354 PARKDALE DR
ST LOUIS PARK, MN 55416-1603
Phone number: 651-645-5323
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Mailing Address
LAURA BURBANK RD, LD
4330 GRAND AVE S
MINNEAPOLIS, MN 55409-1914
Phone number:
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