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1285298349
GRANT PHILLIP HAUGEN
ALEXANDRIA, MN
NPI
1285298349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 10383)
Enumeration Date
2019-04-24
Last Update Date
2022-07-29
Business Address
GRANT PHILLIP HAUGEN
1527 BROADWAY ST
ALEXANDRIA, MN 56308-2537
Phone number: 320-762-0399
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Mailing Address
GRANT PHILLIP HAUGEN
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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