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1215573654
JESSE BAUERNHUBER
ROBBINSDALE, MN
NPI
1215573654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A2434)
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
JESSE BAUERNHUBER PTA
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422-2207
Phone number: 612-332-4262
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Mailing Address
JESSE BAUERNHUBER PTA
4554 CEDAR LAKE RD S APT 6
ST LOUIS PARK, MN 55416-3755
Phone number: 920-379-0527
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