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1194186049
KATHRYN ANN VIDAL
SAINT PAUL, MN
NPI
1194186049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
(Licence: MN 104200)
Enumeration Date
2016-03-18
Last Update Date
2016-03-18
Business Address
-- KATHRYN ANN VIDAL OTR/L
135 GERANIUM AVE E
SAINT PAUL, MN 55117-5007
Phone number: 651-272-4501
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Mailing Address
-- KATHRYN ANN VIDAL OTR/L
200 LEWIS AVE S SUITE 210
WATERTOWN, MN 55388-4545
Phone number: 952-955-2242
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