JENNY MAE KATLACK

ST LOUIS PARK, MN
NPI1174794341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MN  200995)
Enumeration Date2008-03-17
Last Update Date2008-03-17
Business Address
JENNY MAE KATLACK COTA/L
7900 W 28TH ST
ST LOUIS PARK, MN 55426-3011
Phone number: 952-920-8380
Mailing Address
JENNY MAE KATLACK COTA/L
7900 W 28TH ST
ST LOUIS PARK, MN 55426-3011
Phone number: 952-920-8380
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