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1992743884
LISA BERNTSON DORNICK
MINNEAPOLIS, MN
NPI
1992743884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN R-101808-8)
Enumeration Date
2006-06-03
Last Update Date
2012-09-21
Business Address
-- LISA BERNTSON DORNICK PNP
250 S 4TH ST
MINNEAPOLIS, MN 55415-1384
Phone number: 612-673-2301
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Mailing Address
-- LISA BERNTSON DORNICK PNP
250 S 4TH ST ROOM 250
MINNEAPOLIS, MN 55415-1384
Phone number: 612-673-2301
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