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1801033824
MARY BREITENBUCHER
THIEF RIVER FALLS, MN
NPI
1801033824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MN LP0394)
Enumeration Date
2009-01-13
Last Update Date
2009-01-13
Business Address
-- MARY BREITENBUCHER PhD, LP
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701-2840
Phone number: 218-683-4351
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Mailing Address
-- MARY BREITENBUCHER PhD, LP
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701-2840
Phone number: 218-683-4351
Copy
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