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1366951063
THOMAS JOHN LIST
SAINT PAUL, MN
NPI
1366951063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 9682)
Enumeration Date
2017-09-25
Last Update Date
2017-09-25
Business Address
THOMAS JOHN LIST CCC-SLP
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-1065
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Mailing Address
THOMAS JOHN LIST CCC-SLP
3517 42ND AVE S
MINNEAPOLIS, MN 55406-2812
Phone number: 715-204-7881
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