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1982700902
MARK O JUSTIC
EDEN PRAIRIE, MN
NPI
1982700902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN LP0329)
Enumeration Date
2006-09-16
Last Update Date
2014-03-12
Business Address
-- MARK O JUSTIC MA LP
11010 PRAIRIE LAKES DR SUITE 350
EDEN PRAIRIE, MN 55344-3884
Phone number: 952-746-2522
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Mailing Address
-- MARK O JUSTIC MA LP
1900 SILVER LAKE RD NW 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-379-1718
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