Individual
MRS. CATHY JO GUNVALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
HWY 1 AND LAKE ST, RED LAKE, MN 56644
(218) 679-3316
(218) 679-3990
Mailing address
14740 500TH ST, GONVICK, MN 56644-4173
(218) 679-0125
(218) 679-3990
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3033
MN
Other
Enumeration date
02/26/2007
Last updated
07/09/2007
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