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1376175455
RYAN IVERSON
FARIBAULT, MN
NPI
1376175455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 11773)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
RYAN IVERSON PT
35 STATE AVE
FARIBAULT, MN 55021-6368
Phone number: 507-497-3790
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Mailing Address
RYAN IVERSON PT
2005 JEFFERSON RD APT 207
NORTHFIELD, MN 55057-3196
Phone number: 952-807-5466
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