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1477879310
CARISSA R HOLMSTROM
SAINT PAUL, MN
NPI
1477879310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 103724)
Enumeration Date
2010-04-16
Last Update Date
2010-04-16
Business Address
-- CARISSA R HOLMSTROM MA, OTR/L
559 CAPITOL BLVD
SAINT PAUL, MN 55103-2101
Phone number: 651-232-2128
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Mailing Address
-- CARISSA R HOLMSTROM MA, OTR/L
1846 OXFORD ST N
ROSEVILLE, MN 55113-6523
Phone number: 651-402-9179
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