Individual
BABARA JEAN ODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
7424 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3025
(651) 398-2869
Mailing address
213 SIBLEY ST, #106, HASTINGS, MN 55033-1252
(651) 398-2869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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