Individual
PATRICIA DIANE GUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
1366 CHATTERTON RD, EAGAN, MN 55123-1480
(651) 230-6310
Mailing address
1366 CHATTERTON RD, EAGAN, MN 55123-1480
(651) 230-6310
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1419
MN
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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