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1972531291
STEPHEN RAY CARLSON
DULUTH, MN
NPI
1972531291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 22668)
Enumeration Date
2006-06-28
Last Update Date
2011-05-06
Business Address
-- STEPHEN RAY CARLSON
4212 GRAND AVE
DULUTH, MN 55807-2737
Phone number: 218-786-3500
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Mailing Address
-- STEPHEN RAY CARLSON
4212 GRAND AVE
DULUTH, MN 55807-2737
Phone number: 218-786-3500
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