RANDY PARENT

FOREST LAKE, MN
NPI1861875015
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A12)
Enumeration Date2015-07-07
Last Update Date2015-07-07
Business Address
-- RANDY PARENT
604 1ST ST NE
FOREST LAKE, MN 55025-1202
Phone number: 651-466-1025
Mailing Address
-- RANDY PARENT
604 1ST ST NE
FOREST LAKE, MN 55025-1202
Phone number:
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