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1770165003
LISA JEAN WHITSON
ROSEVILLE, MN
NPI
1770165003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A351)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
LISA JEAN WHITSON PTA
3050 CENTRE POINTE DR STE 200
ROSEVILLE, MN 55113-1179
Phone number: 651-631-4242
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Mailing Address
LISA JEAN WHITSON PTA
3050 CENTRE POINTE DR STE 200
ROSEVILLE, MN 55113-1179
Phone number: 651-631-4242
Copy
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