Individual
ANTHONY JAMES DOVOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2937 LYNDALE AVE S STE B002C, MINNEAPOLIS, MN 55408-2171
(612) 879-8000
(612) 879-8000
Mailing address
1357 IDAHO AVE S, ST LOUIS PARK, MN 55426-2207
(952) 288-6958
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9522886958
MN
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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