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1487937058
BRIAN IMDIEKE
DULUTH, MN
NPI
1487937058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 105407)
Enumeration Date
2011-09-21
Last Update Date
2018-10-03
Business Address
Mr. BRIAN IMDIEKE OTR/L
407 E 3RD ST
DULUTH, MN 55805-1950
Phone number: 218-786-4000
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Mailing Address
Mr. BRIAN IMDIEKE OTR/L
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-364-4222
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