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1114763919
CARRIE LYNN DORHOLT
BROOKLYN PARK, MN
NPI
1114763919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A668)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
CARRIE LYNN DORHOLT PTA
9751 REGENT AVE N
BROOKLYN PARK, MN 55443-1402
Phone number: 763-493-7033
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Mailing Address
CARRIE LYNN DORHOLT PTA
1660 HIGHWAY 100 S STE 103
SAINT LOUIS PARK, MN 55416-1599
Phone number: 763-493-7033
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