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Individual

JEANETTE FRANCES LISTUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
100 BUFFALO HILLS LN, BRAINERD, MN 56401-5519
(218) 524-8805
Mailing address
100 BUFFALO HILLS LN, BRAINERD, MN 56401-5519

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1081
MN

Other

Enumeration date
05/20/2025
Last updated
05/20/2025
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