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Individual

KELLY LYNN BURGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1204 CLOQUET AVE, CLOQUET, MN 55720-1622
(218) 878-0805
Mailing address
1204 CLOQUET AVE, CLOQUET, MN 55720-1622
(218) 878-0805

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11649
MN

Other

Enumeration date
09/19/2019
Last updated
09/19/2019
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