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1457923997
JACQUELINE BRAATEN
BRAINERD, MN
NPI
1457923997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A-3)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
JACQUELINE BRAATEN L/PTA
804 WRIGHT ST
BRAINERD, MN 56401-4441
Phone number: 218-829-1407
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Mailing Address
JACQUELINE BRAATEN L/PTA
13620 VISTA OAKS DR SW
PILLAGER, MN 56473-2491
Phone number: 218-820-7539
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