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1306941166
DIANE MAXINE CLARK
MINNETONKA, MN
NPI
1306941166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 1425)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- DIANE MAXINE CLARK PT
13560 WAYZATA BLVD
MINNETONKA, MN 55305-1850
Phone number: 952-525-1883
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Mailing Address
-- DIANE MAXINE CLARK PT
5760 ROSEWOOD LN N
PLYMOUTH, MN 55442-1411
Phone number:
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