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1477614733
ANN VICTORIA JORSTAD
FPO, AP
NPI
1477614733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: MN 1096)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- ANN VICTORIA JORSTAD PT
EDIS CLINIC PSC 482 BOX 1600
FPO, AP 96367
Phone number: 315-634-2747
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Mailing Address
-- ANN VICTORIA JORSTAD PT
2213 HIDDEN VALLEY RD
NORTHFIELD, MN 55057-3109
Phone number: 507-663-8885
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