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1215318670
JONATHAN SEVERSON
BAXTER, MN
NPI
1215318670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 9939)
Enumeration Date
2015-06-11
Last Update Date
2015-06-11
Business Address
-- JONATHAN SEVERSON
14884 KIRKWOOD DR
BAXTER, MN 56425-8451
Phone number: 218-824-5027
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Mailing Address
-- JONATHAN SEVERSON
26 2ND ST NW
CROSBY, MN 56441-1428
Phone number:
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