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Individual

REBECCA L MAGOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
4725 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-3043
(612) 384-7651
Mailing address
8941 WILDWOOD AVE, ST BONIFACIUS, MN 55375-1124
(612) 384-7651

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
04/03/2019
Last updated
04/03/2019
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