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1700838810
JUSTIN L STAKER
WINONA, MN
NPI
1700838810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 7647)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
-- JUSTIN L STAKER PT
111 RIVERFRONT
WINONA, MN 55987-3456
Phone number: 507-454-8700
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Mailing Address
-- JUSTIN L STAKER PT
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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