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1558693309
BLAKE EDWARD BUTLER
BLOOMINGTON, MN
NPI
1558693309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 6174)
Enumeration Date
2010-02-04
Last Update Date
2016-04-04
Business Address
-- BLAKE EDWARD BUTLER PT
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-831-8742
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Mailing Address
-- BLAKE EDWARD BUTLER PT
8170 33RD AVE S PO BOX 1309 MAIL STOP 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number:
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