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1871633032
TIMOTHY C. HATLESTAD
SAINT PAUL, MN
NPI
1871633032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 4953)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- TIMOTHY C. HATLESTAD PT
401 PHALEN BLVD
SAINT PAUL, MN 55101-5302
Phone number: 651-254-7723
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Mailing Address
-- TIMOTHY C. HATLESTAD PT
6947 WYNDHAM BAY
WOODBURY, MN 55125-2766
Phone number: 651-731-5849
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