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Individual

LIEF RASMUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2219 PAUL BUNYAN DR NW STE 6-7, BEMIDJI, MN 56601-6188
(218) 751-2659
Mailing address
32387 IRONWOOD DR, RICHVILLE, MN 56576-9511
(701) 320-9431

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15092
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2024
Last updated
06/05/2024
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