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Individual

MRS. JENNIFER MARIE CAREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
10756 BUTTERNUT ST NW, COON RAPIDS, MN 55448-4448
(763) 757-4170
Mailing address
3552 190TH AVE NE, WYOMING, MN 55092-9527
(763) 301-0322

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H5757
MN
125J00000X
Dental Therapist
Primary
DT67
MN

Other

Enumeration date
04/11/2016
Last updated
06/06/2016
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