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1396414553
LISA YOUN KYUNG OTTO
ST LOUIS PARK, MN
NPI
1396414553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 11012)
Enumeration Date
2021-09-10
Last Update Date
2021-09-10
Business Address
LISA YOUN KYUNG OTTO DPT
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426-4702
Phone number: 952-993-5486
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Mailing Address
LISA YOUN KYUNG OTTO DPT
4321 5TH ST NE
COLUMBIA HEIGHTS, MN 55421-2826
Phone number:
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