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Individual

PATRICIA PATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7291 SAVANNA CT, LINO LAKES, MN 55014-1198
(651) 210-6532
Mailing address
7362 UNIVERSITY AVE NE STE 306, FRIDLEY, MN 55432-3150
(763) 715-5161

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MN

Other

Enumeration date
11/11/2024
Last updated
11/11/2024
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