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1730520248
THEODORE DALE BOAL
BUFFALO, MN
NPI
1730520248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 2022)
Enumeration Date
2013-07-12
Last Update Date
2024-10-13
Business Address
Mr. THEODORE DALE BOAL PT
25 1ST AVE NE
BUFFALO, MN 55313-1568
Phone number: 763-682-3005
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Mailing Address
Mr. THEODORE DALE BOAL PT
25 1ST AVE NE
BUFFALO, MN 55313-1568
Phone number: 763-682-3005
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