KIM LOUISE LAVINE

BAGLEY, MN
NPI1902103989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  102598)
Enumeration Date2011-02-28
Last Update Date2011-02-28
Business Address
Ms. KIM LOUISE LAVINE OTR/L
18802 COUNTY 39
BAGLEY, MN 56621-4906
Phone number: 218-657-2316
Mailing Address
Ms. KIM LOUISE LAVINE OTR/L
18802 COUNTY 39
BAGLEY, MN 56621-4906
Phone number: 218-657-2316
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