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1164144002
KELLEN JAMES CAMERON
MAPLE GROVE, MN
NPI
1164144002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 12872)
Enumeration Date
2022-09-16
Last Update Date
2022-09-16
Business Address
KELLEN JAMES CAMERON DPT
7767 ELM CREEK BLVD N STE 160
MAPLE GROVE, MN 55369-7078
Phone number: 763-201-8191
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Mailing Address
KELLEN JAMES CAMERON DPT
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369-2684
Phone number: 763-201-8191
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