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1407988975
JEFFREY FRED FARRAN
MAPLE GROVE, MN
NPI
1407988975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 1026)
Enumeration Date
2007-03-11
Last Update Date
2014-07-08
Business Address
Mr. JEFFREY FRED FARRAN PT
11671 FOUNTAINS DR STE 200
MAPLE GROVE, MN 55369-4784
Phone number: 763-585-0605
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Mailing Address
Mr. JEFFREY FRED FARRAN PT
11671 FOUNTAINS DR STE 200
MAPLE GROVE, MN 55369-4784
Phone number: 763-585-0605
Copy
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