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1033217377
RICHARD WAYNE LUNDGREN
BLOOMINGTON, MN
NPI
1033217377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 5029)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- RICHARD WAYNE LUNDGREN PT
600 W 98TH ST #390
BLOOMINGTON, MN 55420-4773
Phone number: 952-885-6200
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Mailing Address
-- RICHARD WAYNE LUNDGREN PT
1914 WORDSWORTH AVE
SAINT PAUL, MN 55116-2640
Phone number:
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