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Individual

MARY JANE PETERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
710 MOUND AVE, MANKATO, MN 56001-1600
(507) 385-4300
Mailing address
60701 MILLIE LN, EAGLE LAKE, MN 56024-4470
(507) 995-0308

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2088
MN

Other

Enumeration date
05/17/2019
Last updated
05/17/2019
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