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Individual

BOBBY R AMAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPIST

Contact information

Practice address
245 PRIOR AVE N, SAINT PAUL, MN 55104-5163
(615) 524-0861
Mailing address
3725 19TH AVE S, MINNEAPOLIS, MN 55407-2925
(615) 524-0861

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
202400001821
MN

Other

Enumeration date
01/31/2025
Last updated
01/31/2025
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