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1912377623
JENNA PEDERSON
DETROIT LAKES, MN
NPI
1912377623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 9146)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- JENNA PEDERSON
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
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Mailing Address
-- JENNA PEDERSON
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-8000
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