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1861500464
NATHAN R DEBRUIN
LAKE ELMO, MN
NPI
1861500464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 6205)
Enumeration Date
2006-08-25
Last Update Date
2019-09-09
Business Address
NATHAN R DEBRUIN PT
8650 HUDSON BLVD N SUITE 310
LAKE ELMO, MN 55042-9747
Phone number: 651-702-6932
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Mailing Address
NATHAN R DEBRUIN PT
7581 9TH ST N STE 100
OAKDALE, MN 55128-6635
Phone number: 651-748-4338
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