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1487084067
LAURA BASTRON
GOLDEN VALLEY, MN
NPI
1487084067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A1673)
Enumeration Date
2013-11-19
Last Update Date
2013-11-19
Business Address
-- LAURA BASTRON PTA
7505 COUNTRY CLUB DR
GOLDEN VALLEY, MN 55427-4501
Phone number: 763-450-6902
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Mailing Address
-- LAURA BASTRON PTA
7505 COUNTRY CLUB DRIVE
GOLDEN VALLEY, MN 55427
Phone number:
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