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Individual

MRS. JAMIE LYNN CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1700 HIGHWAY 36 W, SUITE 860, ROSEVILLE, MN 55113-4034
(651) 319-5497
(651) 633-0146
Mailing address
1700 WEST HIGHWAY 36, SUITE 860, ROSEVILLE, MN 55113
(651) 319-5497
(651) 633-0146

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6990
MN

Other

Enumeration date
01/10/2013
Last updated
01/10/2013
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