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Individual

GAIL SUZANNE DARTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
513 N US HIGHWAY 51 # A, POYNETTE, WI 53955-9335
(608) 635-9490
Mailing address
N2692 COUNTY HIGHWAY V #A, LODI, WI 53555
(920) 210-4472

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13678-146
WI

Other

Enumeration date
12/16/2019
Last updated
12/16/2019
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