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1811200793
HOLLY A DEROUCHEY
COON RAPIDS, MN
NPI
1811200793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MN 8516)
Enumeration Date
2010-07-20
Last Update Date
2010-07-20
Business Address
-- HOLLY A DEROUCHEY PT
3111 124TH AVE NW SUITE 200
COON RAPIDS, MN 55433-4572
Phone number: 763-427-7300
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Mailing Address
-- HOLLY A DEROUCHEY PT
6465 WAYZATA BLVD SUITE 900
ST LOUIS PARK, MN 55426-1728
Phone number: 952-512-5600
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