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1134182504
MARYKAY HERUTH
MAPLE GROVE, MN
NPI
1134182504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 806)
Enumeration Date
2006-04-07
Last Update Date
2007-07-08
Business Address
-- MARYKAY HERUTH PT
13986 MAPLE KNOLL WAY
MAPLE GROVE, MN 55369-4655
Phone number: 763-236-0200
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Mailing Address
-- MARYKAY HERUTH PT
PO BOX 43 MR 10809
MINNEAPOLIS, MN 55440-0043
Phone number: 612-262-4813
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