LARS T GUSTAFSON

BRAINERD, MN
NPI1023116506
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  6561)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- LARS T GUSTAFSON MPT
224 N 5TH ST
BRAINERD, MN 56401-3348
Phone number: 218-829-4231
Mailing Address
-- LARS T GUSTAFSON MPT
733 7TH ST NE
LITTLE FALLS, MN 56345-2432
Phone number: 218-829-4231
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