JEFFREY LARGE

BEMIDJI, MN
NPI1649591942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  5421)
Enumeration Date2010-06-21
Last Update Date2010-11-01
Business Address
-- JEFFREY LARGE MPT
3604 BEMIDJI AVE N
BEMIDJI, MN 56601-4333
Phone number: 218-333-5263
Mailing Address
-- JEFFREY LARGE MPT
PO BOX MC
FARGO, ND 58122-0605
Phone number: 701-234-1261
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