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1811430952
LISA STEPHANIE CARLSON
EAGAN, MN
NPI
1811430952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 9933)
Enumeration Date
2016-11-21
Last Update Date
2020-11-19
Business Address
LISA STEPHANIE CARLSON DPT
2700 VIKINGS CIR
EAGAN, MN 55121-1002
Phone number: 952-456-7600
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Mailing Address
LISA STEPHANIE CARLSON DPT
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 55422-4841
Phone number: 952-512-5600
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