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1851373609
NICOLE M LAVANTY
EDINA, MN
NPI
1851373609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 7672)
Enumeration Date
2005-11-17
Last Update Date
2011-07-26
Business Address
-- NICOLE M LAVANTY MSPT
6515 BARRIE RD SUITE 100
EDINA, MN 55435-2305
Phone number: 952-922-5019
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Mailing Address
-- NICOLE M LAVANTY MSPT
6515 BARRIE RD SUITE 100
EDINA, MN 55435-2305
Phone number: 952-922-5019
Copy
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