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Individual

LAURIE J CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9850 163RD ST W, LAKEVILLE, MN 55044-9471
(612) 708-2027
(952) 236-4687
Mailing address
9850 163RD ST W, LAKEVILLE, MN 55044-4755
(612) 708-2027
(952) 236-4687

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
225700000X
Massage Therapist
MN

Other

Enumeration date
10/06/2011
Last updated
10/08/2015
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