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Individual

DR. CHERYL LAFOLLETTE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, PT, MBA, GCS

Contact information

Practice address
4801 VETERANS DR, BUILDING 48 ROOM 17, SAINT CLOUD, MN 56303-2015
(320) 255-6480
Mailing address
2007 RIDGEWOOD DR NW, ALEXANDRIA, MN 56308-4946
(320) 762-5066

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2010
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X894276150321
DRIVERS LICENSE
MN
Enumeration date
12/05/2006
Last updated
07/08/2007
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