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1508059833
JODIE LEE ANDERSON
LINO LAKES, MN
NPI
1508059833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2007-08-21
Last Update Date
2007-08-21
Business Address
-- JODIE LEE ANDERSON PTA
7455 VILLAGE DR
LINO LAKES, MN 55014-1181
Phone number: 651-717-3480
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Mailing Address
-- JODIE LEE ANDERSON PTA
352 CARL ST
LINO LAKES, MN 55014-3014
Phone number:
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