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1912233859
LISA MARIE DEKAM
ST LOUIS PARK, MN
NPI
1912233859
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Former Name
LISA MARIE BLANKESPOOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 7094)
Enumeration Date
2009-10-28
Last Update Date
2009-10-28
Business Address
Mrs. LISA MARIE DEKAM P.T.
3525 MONTEREY DR
ST LOUIS PARK, MN 55416-5275
Phone number: 952-993-6200
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Mailing Address
Mrs. LISA MARIE DEKAM P.T.
3525 MONTEREY DR
ST LOUIS PARK, MN 55416-5275
Phone number: 952-993-6200
Copy
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