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Individual

MRS. GINA MARIE GAFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542
(952) 470-8555
Mailing address
324 W 4TH ST, WACONIA, MN 55387-1708
(612) 910-9050

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
11/09/2021
Last updated
11/09/2021
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