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1497419873
MELISSA BONGARD
WOODBURY, MN
NPI
1497419873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 6991)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2021-10-22
Last Update Date
2024-01-22
Business Address
MELISSA BONGARD PT
215 RADIO DR STE 100
WOODBURY, MN 55125-5817
Phone number: 612-596-6155
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Mailing Address
MELISSA BONGARD PT
215 RADIO DR STE 100
WOODBURY, MN 55125-5817
Phone number:
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