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1932542180
LISA GUSTAFSON
BISMARCK, ND
NPI
1932542180
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Former Name
LISA ANN PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ND 474)
Enumeration Date
2013-04-08
Last Update Date
2013-10-27
Business Address
-- LISA GUSTAFSON Ph.D., PLLC
200 E MAIN AVE SUITE 202
BISMARCK, ND 58501-3857
Phone number: 701-400-5472
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Mailing Address
-- LISA GUSTAFSON Ph.D., PLLC
200 E MAIN AVE SUITE 202
BISMARCK, ND 58501-3857
Phone number: 701-400-5472
Copy
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