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1275597957
MARK L ROA
MINNEAPOLIS, MN
NPI
1275597957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MN LP3689)
Enumeration Date
2006-04-12
Last Update Date
2007-07-08
Business Address
-- MARK L ROA MA, LP
2545 CHICAGO AVE SUITE 701
MINNEAPOLIS, MN 55404-4522
Phone number: 612-863-5327
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Mailing Address
-- MARK L ROA MA, LP
PO BOX 43 MR 10809
MINNEAPOLIS, MN 55440-0043
Phone number: 612-262-4813
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