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1457792855
LARA O STANISLAW
ROSEVILLE, MN
NPI
1457792855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 8906)
Enumeration Date
2013-07-13
Last Update Date
2013-07-13
Business Address
Ms. LARA O STANISLAW P.T.
2151 HAMLINE AVE N SUITE #111
ROSEVILLE, MN 55113-4236
Phone number: 651-636-5560
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Mailing Address
Ms. LARA O STANISLAW P.T.
1957 PORTLAND AVE
SAINT PAUL, MN 55104-5853
Phone number: 651-402-5055
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