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1548636939
JORDAN ESPESETH
THIEF RIVER FALLS, MN
NPI
1548636939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2115205)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
JORDAN ESPESETH
1805 CLYDE DR
THIEF RIVER FALLS, MN 56701-4515
Phone number: 218-689-4156
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Mailing Address
JORDAN ESPESETH
1805 CLYDE DR
THIEF RIVER FALLS, MN 56701-4515
Phone number: 218-689-4156
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