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1003908682
LARAE A MCGILLIVRAY
MOORHEAD, MN
NPI
1003908682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 7234)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
-- LARAE A MCGILLIVRAY MS CCCSLP
1104 7TH AVE S MSUM BOX 119
MOORHEAD, MN 56563-0001
Phone number: 218-477-4639
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Mailing Address
-- LARAE A MCGILLIVRAY MS CCCSLP
1104 7TH AVE S MSUM BOX 119
MOORHEAD, MN 56563-0001
Phone number: 218-477-4639
Copy
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