NATHANYAL M JACKLITCH

GOLDEN VALLEY, MN
NPI1093772881
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  7056)
Enumeration Date2006-04-27
Last Update Date2007-07-08
Business Address
-- NATHANYAL M JACKLITCH MPT
3915 GOLDEN VALLEY ROAD COURAGE CENTER
GOLDEN VALLEY, MN 55422-4298
Phone number: 763-520-0867
Mailing Address
-- NATHANYAL M JACKLITCH MPT
3915 GOLDEN VALLEY ROAD COURAGE CENTER
GOLDEN VALLEY, MN 55422-4298
Phone number: 763-520-0867
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