Individual
MRS. MOLLY MEGAN MALUNDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21135 JACQUARD AVE, LAKEVILLE, MN 55044-6022
(952) 232-3327
Mailing address
18316 KEY WEST CT, LAKEVILLE, MN 55044-7315
(612) 298-8286
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MN
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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