Individual
RONALD PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7372 ADAIR CT N, BROOKLYN PARK, MN 55443-2090
(612) 964-4171
Mailing address
7372 ADAIR CT N, BROOKLYN PARK, MN 55443-2090
(612) 964-4171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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