Individual
TRACY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 NORTHWAY DR, SAINT CLOUD, MN 56303-1221
(320) 650-3082
Mailing address
10916 90TH AVE, MILACA, MN 56353-3886
(320) 761-6540
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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