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1073914818
JENNIFER LYNN WIITALA
NEW BRIGHTON, MN
NPI
1073914818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A1007)
Enumeration Date
2014-09-11
Last Update Date
2014-09-11
Business Address
-- JENNIFER LYNN WIITALA PTA
825 1ST AVE NW
NEW BRIGHTON, MN 55112-6846
Phone number: 651-633-7875
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Mailing Address
-- JENNIFER LYNN WIITALA PTA
24053 305TH ST
NORA SPRINGS, IA 50458-8774
Phone number: 641-425-3404
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