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Individual

CAROL SUSAN GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 FAIRVIEW BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
29072 LEROY AVE, FRONTENAC, MN 55026-1016

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
07/18/2006
Last updated
09/28/2020
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