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1427614270
MARY JANE PETERSEN
MANKATO, MN
NPI
1427614270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 2088)
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
MARY JANE PETERSEN PT
710 MOUND AVE
MANKATO, MN 56001-1600
Phone number: 507-385-4300
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Mailing Address
MARY JANE PETERSEN PT
60701 MILLIE LN
EAGLE LAKE, MN 56024-4470
Phone number: 507-995-0308
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