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Individual

MR. JAMES PAUL VERBOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CTRS

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 255-4605
Mailing address
4911 22ND AVE NW, ROCHESTER, MN 55901-2033
(507) 250-1678
(507) 255-4641

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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