TRISTA N BLADE

PLYMOUTH, MN
NPI1962741843
Former NameTRISTA N DAU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  9052)
Enumeration Date2013-02-12
Last Update Date2016-01-04
Business Address
-- TRISTA N BLADE MS, CCC-SLP
14130 23RD AVENUE NORTH
PLYMOUTH, MN 55447-4904
Phone number: 763-383-7666
Mailing Address
-- TRISTA N BLADE MS, CCC-SLP
14130 23RD AVENUE NORTH
PLYMOUTH, MN 55447-4904
Phone number: 763-383-7666
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