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1194880930
THERESE JANE HALLBACK
DULUTH, MN
NPI
1194880930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 100726)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
-- THERESE JANE HALLBACK
530 E 2ND ST
DULUTH, MN 55805-1913
Phone number: 218-786-5300
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Mailing Address
-- THERESE JANE HALLBACK
530 E 2ND ST
DULUTH, MN 55805-1913
Phone number: 218-786-5300
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