Individual
JANET DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11585 INTERLACHEN RD, CHISAGO CITY, MN 55013-9553
(651) 206-4928
Mailing address
11585 INTERLACHEN RD, CHISAGO CITY, MN 55013-9553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2600
MN
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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