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1659845071
LEAH TISDALE
MINNEAPOLIS, MN
NPI
1659845071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: MN 105939)
Enumeration Date
2019-01-18
Last Update Date
2019-03-20
Business Address
LEAH TISDALE
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-365-6777
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Mailing Address
LEAH TISDALE
2544 CHRISTIAN PKWY
CHASKA, MN 55318-1986
Phone number: 952-769-6441
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