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1093167165
TRACY PETERSON
MINNEAPOLIS, MN
NPI
1093167165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A2069)
Enumeration Date
2016-07-12
Last Update Date
2016-08-22
Business Address
TRACY PETERSON PTA
500 HARVARD ST SE MAYO 450/ MMC 106
MINNEAPOLIS, MN 55455-0363
Phone number: 612-273-8922
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Mailing Address
TRACY PETERSON PTA
500 HARVARD ST SE
MINNEAPOLIS, MN 55455-0363
Phone number: 612-273-8922
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