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1174715361
COREY NATHANIEL FETT
BLOOMINGTON, MN
NPI
1174715361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 7937)
Enumeration Date
2007-08-13
Last Update Date
2007-08-13
Business Address
-- COREY NATHANIEL FETT
600 W 98TH ST #390A
BLOOMINGTON, MN 55420-4773
Phone number: 952-885-6200
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Mailing Address
-- COREY NATHANIEL FETT
1679 COUNTRYSIDE DR
SHAKOPEE, MN 55379-4527
Phone number:
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