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1154945251
KENT ROBERT DEARDORFF
ST LOUIS PARK, MN
NPI
1154945251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 11812)
Enumeration Date
2020-06-04
Last Update Date
2020-06-04
Business Address
KENT ROBERT DEARDORFF PT, DPT
6901 MEADOWBROOK BLVD APT 289
ST LOUIS PARK, MN 55426-4634
Phone number: 480-510-7804
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Mailing Address
KENT ROBERT DEARDORFF PT, DPT
6901 MEADOWBROOK BLVD APT 289
ST LOUIS PARK, MN 55426-4634
Phone number:
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