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Individual

AMY LOUISE CHUDZIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
22 27TH AVE SE, MINNEAPOLIS, MN 55414-3102
(612) 332-4262
Mailing address
9553 JACKSON ST NE, BLAINE, MN 55434-2546
(763) 780-4736

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4689
MN

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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