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Individual

LISA YSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
621 3RD AVE, INTERNATIONAL FALLS, MN 56649-2637
(218) 283-2525
(218) 283-9694
Mailing address
1607 7TH AVE E, INTERNATIONAL FALLS, MN 56649-3024
(218) 290-8533
(218) 283-9694

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
08/01/2023
Last updated
08/01/2023
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