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1609211408
KATHERYN M HUMPHREY
BLOOMINGTON, MN
NPI
1609211408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A1572)
Enumeration Date
2013-05-07
Last Update Date
2013-05-07
Business Address
-- KATHERYN M HUMPHREY PTA
8100 HIGHWOOD DR
BLOOMINGTON, MN 55438-1006
Phone number: 952-830-9586
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Mailing Address
-- KATHERYN M HUMPHREY PTA
8425 PILLSBURY AVE S
BLOOMINGTON, MN 55420-2243
Phone number: 704-340-8884
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