JEAN MICHELLE BANNICK

ST LOUIS PARK, MN
NPI1407185523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  103792)
Enumeration Date2009-12-19
Last Update Date2009-12-19
Business Address
Mrs. JEAN MICHELLE BANNICK MOTR/L
7900 W 28TH ST
ST LOUIS PARK, MN 55426-3011
Phone number: 651-698-0830
Mailing Address
Mrs. JEAN MICHELLE BANNICK MOTR/L
7900 W 28TH ST
ST LOUIS PARK, MN 55426-3011
Phone number: 651-698-0830
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