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1174609804
MELANIE A BRUDEVOLD
ST LOUIS PARK, MN
NPI
1174609804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 5223)
Enumeration Date
2006-10-27
Last Update Date
2010-07-15
Business Address
-- MELANIE A BRUDEVOLD PT
6465 WAYZATA BLVD STE 315
ST LOUIS PARK, MN 55426-1728
Phone number: 952-993-7169
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Mailing Address
-- MELANIE A BRUDEVOLD PT
6465 WAYZATA BLVD STE 315
ST LOUIS PARK, MN 55426-1728
Phone number: 952-993-7169
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