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1538757356
TIMOTHY LEE DEYOUNG
PLYMOUTH, MN
NPI
1538757356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 10295)
Enumeration Date
2021-01-07
Last Update Date
2021-01-07
Business Address
TIMOTHY LEE DEYOUNG MA, CCC-SLP
2600 FERNBROOK LN N STE 138
PLYMOUTH, MN 55447-4752
Phone number: 952-544-0349
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Mailing Address
TIMOTHY LEE DEYOUNG MA, CCC-SLP
3526 GRIMES AVE N
ROBBINSDALE, MN 55422-2838
Phone number: 218-252-2448
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