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Individual

MRS. SUSANNE ELAINE HOLMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
515 BRIDGE ST, PARK RAPIDS, MN 56470-1210
(218) 366-9229
(218) 237-2520
Mailing address
23650 GLORY TRAIL, PARK RAPIDS, MN 56470
(218) 732-3088

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
01/17/2007
Last updated
05/12/2010
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