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Individual

JEANNE MARIE MCCLOSKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
555 W BROADWAY AVE STE 2, FOREST LAKE, MN 55025-1066
(651) 982-1504
Mailing address
18155 BENDER ST NE, FOREST LAKE, MN 55025-8828

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4920
MN

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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