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1912365743
ELISE LONG
EDINA, MN
NPI
1912365743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 105039)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
-- ELISE LONG
7250 FRANCE AVE S SUITE 305
EDINA, MN 55435-4305
Phone number: 952-285-2840
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Mailing Address
-- ELISE LONG
9851 HARRISON RD APT. 230
BLOOMINGTON, MN 55437-2176
Phone number: 515-745-3171
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