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1316943152
SHANE ALLEN MESCHKE
BLOOMINGTON, MN
NPI
1316943152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 7000)
Enumeration Date
2005-06-27
Last Update Date
2007-07-08
Business Address
Mr. SHANE ALLEN MESCHKE LPT
9549 PENN AVE S
BLOOMINGTON, MN 55431-2563
Phone number: 952-888-9549
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Mailing Address
Mr. SHANE ALLEN MESCHKE LPT
13716 ALABAMA AVE S
SAVAGE, MN 55378-2460
Phone number: 612-987-5913
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