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1255172482
HUNTER LAKE
EAST GRAND FORKS, MN
NPI
1255172482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 2703)
Enumeration Date
2024-06-03
Last Update Date
2024-07-13
Business Address
HUNTER LAKE PT, DPT
625 DEMERS AVE
EAST GRAND FORKS, MN 56721-1833
Phone number: 218-773-5858
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Mailing Address
HUNTER LAKE PT, DPT
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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