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1013557057
ERIK DE WATER
EDINA, MN
NPI
1013557057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: MN LP6647)
Enumeration Date
2020-01-07
Last Update Date
2021-09-13
Business Address
DR. ERIK DE WATER PHD
7373 FRANCE AVE S STE 302
EDINA, MN 55435-4538
Phone number: 952-595-5652
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Mailing Address
DR. ERIK DE WATER PHD
4135 BENJAMIN DR
WOODBURY, MN 55129-2233
Phone number: 646-334-8790
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