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JENNIFER JO LABERGE DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1669517579

Individual Registrant:
 JENNIFER JO LABERGE DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
21080 OLINDA TRAIL N  SCANDIA, MN 55073 US
Tel: 615-433-2655  Fax: --

Contact information for business:
21080 OLINDA TRAIL N  SCANDIA, MN 55073 US
Tel: 615-433-2655  Fax: --

Registration Information:
NPI: 1669517579
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
MN011997

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1



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