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1124687546
MICHAEL CHARLES LOFBOOM
WOODBURY, MN
NPI
1124687546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 11449)
Enumeration Date
2019-06-10
Last Update Date
2019-07-17
Business Address
MICHAEL CHARLES LOFBOOM
155 RADIO DR
WOODBURY, MN 55125-2619
Phone number: 952-831-8742
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Mailing Address
MICHAEL CHARLES LOFBOOM
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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