MARK LAVERN OHLSEN

FARIBAULT, MN
NPI1962700245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  10296)
Enumeration Date2011-03-10
Last Update Date2011-03-10
Business Address
Dr. MARK LAVERN OHLSEN
505 4TH ST NW
FARIBAULT, MN 55021-5032
Phone number: 507-334-7471
Mailing Address
Dr. MARK LAVERN OHLSEN
505 4TH ST NW
FARIBAULT, MN 55021-5032
Phone number: 507-334-7471
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