JONATHAN LYLE BURLINGAME

PARK RAPIDS, MN
NPI1093382707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  12214)
Enumeration Date2021-06-10
Last Update Date2024-01-29
Business Address
JONATHAN LYLE BURLINGAME
1006 CROCUS HILL ST E
PARK RAPIDS, MN 56470-5419
Phone number: 218-366-8469
Mailing Address
JONATHAN LYLE BURLINGAME
25730 HOLLY ROAD
PARK RAPIDS, MN 56470
Phone number:
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