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Individual
REBECCA A JORGENSON
Active
Individual
REBECCA A JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
9073
MN
Other
Enumeration date
02/28/2014
Last updated
01/04/2016
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