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1023202561
PETER GERING SKUPEKO
ROSEVILLE, MN
NPI
1023202561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 2548)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
Mr. PETER GERING SKUPEKO Physical Therapist
1325 ELDRIDGE AVE W
ROSEVILLE, MN 55113-5917
Phone number: 651-639-1615
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Mailing Address
Mr. PETER GERING SKUPEKO Physical Therapist
2233 HAMLINE AVE N SUITE 215
ROSEVILLE, MN 55113-5009
Phone number: 651-639-1625
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