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1861450504
BRIAN JON ELLINGWORTH
MANKATO, MN
NPI
1861450504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 3052)
Enumeration Date
2006-05-03
Last Update Date
2011-07-22
Business Address
Mr. BRIAN JON ELLINGWORTH PT
1431 PREMIER DR
MANKATO, MN 56001-6076
Phone number: 507-386-6700
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Mailing Address
Mr. BRIAN JON ELLINGWORTH PT
1431 PREMIER DR
MANKATO, MN 56001-6076
Phone number: 507-386-6600
Copy
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