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1568543387
JILL DIMITRI
WHITE BEAR LAKE, MN
NPI
1568543387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 9503)
Enumeration Date
2006-10-18
Last Update Date
2019-10-02
Business Address
JILL DIMITRI ST
2555 COUNTY ROAD E E # 102
WHITE BEAR LAKE, MN 55110-4906
Phone number: 651-683-2953
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Mailing Address
JILL DIMITRI ST
150 LOST LAKE CT
MAHTOMEDI, MN 55115-1865
Phone number: 309-830-6216
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