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1225133887
KENT WORRELL MALCOMSON
MINNEAPOLIS, MN
NPI
1225133887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 2414)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- KENT WORRELL MALCOMSON PT
2450 RIVERSIDE AVE SUITE R102
MINNEAPOLIS, MN 55454-1450
Phone number: 612-273-9400
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Mailing Address
-- KENT WORRELL MALCOMSON PT
3320 YOSEMITE AVE S
ST LOUIS PARK, MN 55416-2142
Phone number:
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