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Individual

DEBRA K JANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
18275 KENRICK AVE, LAKEVILLE, MN 55044-7306
(952) 892-5400
Mailing address
13540 GUILD AVE, APPLE VALLEY, MN 55124-7603
(952) 432-3245
(952) 432-3245

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112121
MN

Other

Enumeration date
11/14/2011
Last updated
11/14/2011
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