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1508085002
MARY ELLEN HIMPLE
EDEN PRAIRIE, MN
NPI
1508085002
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Former Name
MARY ELLEN BAKKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 10852)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- MARY ELLEN HIMPLE PT
429 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344-5378
Phone number: 952-828-9500
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Mailing Address
-- MARY ELLEN HIMPLE PT
6647 CANTERBURY LN
EDEN PRAIRIE, MN 55346-2842
Phone number:
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