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1467096123
ERICA AIMEE HANSEN
WHITE BEAR LAKE, MN
NPI
1467096123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A2449)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
MRS. ERICA AIMEE HANSEN PTA
4461 WHITE BEAR PKWY STE 1
WHITE BEAR LAKE, MN 55110-7626
Phone number: 651-645-4540
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Mailing Address
MRS. ERICA AIMEE HANSEN PTA
2622 ULYSSES ST NE
MINNEAPOLIS, MN 55418-3048
Phone number: 651-408-5669
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