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1790825990
LORI BURGESS
EAGAN, MN
NPI
1790825990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 7211)
Enumeration Date
2007-02-07
Last Update Date
2007-07-09
Business Address
-- LORI BURGESS MSTCCCSLP
2795 PILOT KNOB RD SUITE 100
EAGAN, MN 55121-1119
Phone number: 651-994-9644
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Mailing Address
-- LORI BURGESS MSTCCCSLP
4058 DEERWOOD TRL
EAGAN, MN 55122-1889
Phone number: 651-994-9644
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