LUCAS ALLEN GROSSOEHME

SAINT PAUL, MN
NPI1477134336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  0739339)
Enumeration Date2021-04-20
Last Update Date2021-04-20
Business Address
MR. LUCAS ALLEN GROSSOEHME
1879 FERONIA AVE
SAINT PAUL, MN 55104-3549
Phone number: 651-646-4061
Mailing Address
MR. LUCAS ALLEN GROSSOEHME
1879 FERONIA AVE
SAINT PAUL, MN 55104-3549
Phone number: 651-646-4061
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