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1750500054
KATHRYN GAIL RUSTEBAKKE
GRAND FORKS, ND
NPI
1750500054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 768)
Enumeration Date
2007-04-25
Last Update Date
2013-07-09
Business Address
KATHRYN GAIL RUSTEBAKKE PT
701 DEMERS AVE
GRAND FORKS, ND 58201-4506
Phone number: 701-772-2200
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Mailing Address
KATHRYN GAIL RUSTEBAKKE PT
1560 S CAROL ST
MERIDIAN, ID 83646-1839
Phone number: 208-288-1155
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