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1669852158
MIXA DIPAK PATEL
EDEN PRAIRIE, MN
NPI
1669852158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A477)
Enumeration Date
2015-06-01
Last Update Date
2015-06-01
Business Address
-- MIXA DIPAK PATEL
8380 HIAWATHA AVE
EDEN PRAIRIE, MN 55337
Phone number: 612-906-9734
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Mailing Address
-- MIXA DIPAK PATEL
8380 HIAWATHA AVE
EDEN PRAIRIE, MN 55347-1548
Phone number: 952-906-9734
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