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1154887685
DANETTA LAVELL
SAINT PAUL, MN
NPI
1154887685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: MN 101119)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
Mrs. DANETTA LAVELL OTRL/CBIS
559 CAPITOL BLVD
SAINT PAUL, MN 55103-2101
Phone number: 651-232-2128
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Mailing Address
Mrs. DANETTA LAVELL OTRL/CBIS
559 CAPITOL BLVD
SAINT PAUL, MN 55103-2101
Phone number: 651-232-2128
Copy
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