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1982765905
DIANE L WOLTER
COON RAPIDS, MN
NPI
1982765905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 9770)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- DIANE L WOLTER DDS
11441 OSAGE ST NW
COON RAPIDS, MN 55433-3677
Phone number: 763-757-6600
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Mailing Address
-- DIANE L WOLTER DDS
11441 OSAGE ST NW
COON RAPIDS, MN 55433-3677
Phone number: 763-757-6600
Copy
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