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1568744050
CARRIE PENA
CHASKA, MN
NPI
1568744050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: MN 8728)
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
-- CARRIE PENA DPT
1661 PARK RIDGE DR
CHASKA, MN 55318-2841
Phone number: 952-428-1265
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Mailing Address
-- CARRIE PENA DPT
1661 PARK RIDGE DR
CHASKA, MN 55318-2841
Phone number: 952-428-1265
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