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1003249616
LAUREN STAVENGER
ROBBINSDALE, MN
NPI
1003249616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 9039)
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
-- LAUREN STAVENGER
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422-2207
Phone number: 612-332-4262
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Mailing Address
-- LAUREN STAVENGER
200 NATHAN LN N APT 231
PLYMOUTH, MN 55441-6486
Phone number:
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