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Individual

SUZANNA WYMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1644 SEASHELL LN, WACONIA, MN 55387-1054
(952) 452-6519
Mailing address
1644 SEASHELL LN, WACONIA, MN 55387-1054
(952) 452-6519

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/26/2015
Last updated
03/26/2015
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