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1801387535
KYLE DEAN CLEVENGER
CHANHASSEN, MN
NPI
1801387535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 11149)
Enumeration Date
2018-05-29
Last Update Date
2021-06-23
Business Address
KYLE DEAN CLEVENGER DPT
2665 W 78TH ST
CHANHASSEN, MN 55317-4502
Phone number: 952-835-4512
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Mailing Address
KYLE DEAN CLEVENGER DPT
7825 3RD ST N STE 105
OAKDALE, MN 55128-5444
Phone number: 952-835-4512
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