Individual
MS. DEBORAH ANN GANRUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 13TH ST NE, ROCHESTER, MN 55906-7004
(507) 289-2600
Mailing address
506 13TH ST NE, ROCHESTER, MN 55906-7004
(507) 289-2600
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
—
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
09/17/2009
Last updated
09/21/2009
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