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Individual

JENNIFER GORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 W 66TH ST STE 300, EDINA, MN 55435-2110
(952) 914-1965
Mailing address
PO BOX 9372, MINNEAPOLIS, MN 55440-9372

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105431
MN

Other

Enumeration date
10/10/2016
Last updated
08/22/2019
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