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1760562045
TARA E. ODEGAARD-LESLIE
DULUTH, MN
NPI
1760562045
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Former Name
TARA E. ODEGAARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 6291)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- TARA E. ODEGAARD-LESLIE PT
915 E 1ST ST
DULUTH, MN 55805-2107
Phone number: 218-249-5555
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Mailing Address
-- TARA E. ODEGAARD-LESLIE PT
915 E 1ST ST
DULUTH, MN 55805-2107
Phone number: 218-249-5555
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