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Individual

MICHELLE LEE BIERDEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1121 WESTRAC DR S, SUITE 102, FARGO, ND 58103-8716
(701) 297-8191
Mailing address
1121 WESTRAC DR S, SUITE 102, FARGO, ND 58103-8716
(701) 297-8191

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1209
ND

Other

Enumeration date
09/18/2012
Last updated
09/18/2012
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