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MRS. GEORGINA ALFRIDA POTGIETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
770 HIGHWAY 110, MENDOTA HEIGHTS, MN 55120-1509
(651) 686-0587
Mailing address
448 4TH AVE S, SOUTH ST PAUL, MN 55075-2618
(651) 303-7731

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
173C00000X
Reflexologist

Other

Enumeration date
02/05/2009
Last updated
12/01/2011
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