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1801041447
JACKIE LYNN BOSSHART
BLAINE, MN
NPI
1801041447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 103609)
Enumeration Date
2008-11-24
Last Update Date
2023-12-11
Business Address
JACKIE LYNN BOSSHART OTR/L
10230 BALTIMORE ST NE STE 300
BLAINE, MN 55449-4674
Phone number: 651-968-5201
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Mailing Address
JACKIE LYNN BOSSHART OTR/L
710 COMMERCE DR STE 200
WOODBURY, MN 55125-4925
Phone number:
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