Individual
STEPHANIE DUSENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1002 CLEVELAND AVE S, SAINT PAUL, MN 55116-1866
(763) 218-5511
Mailing address
1002 CLEVELAND AVE S, SAINT PAUL, MN 55116-1866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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