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1255829859
JASON JAMES STENSTROM
LINO LAKES, MN
NPI
1255829859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A2129)
Enumeration Date
2018-04-29
Last Update Date
2018-04-29
Business Address
JASON JAMES STENSTROM PTA
738 COUNTRY LAKES DR
LINO LAKES, MN 55014-5488
Phone number: 901-581-1692
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Mailing Address
JASON JAMES STENSTROM PTA
738 COUNTRY LAKES DR
LINO LAKES, MN 55014-5488
Phone number: 901-581-1692
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