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Individual

EIKO ELISE GRIFFIN MIZUSHIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3528 14TH AVE S, MINNEAPOLIS, MN 55407-2223
(608) 577-1385
Mailing address
3528 14TH AVE S, MINNEAPOLIS, MN 55407-2223

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
106274
MN

Other

Enumeration date
11/18/2022
Last updated
11/18/2022
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