Individual
MRS. HOLLY BETH GAUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8100 W 78TH ST., SUITE 225, EDINA, MN 55439
(952) 946-9777
Mailing address
3055 EAGANDALE PL APT 225, EAGAN, MN 55121-1239
(612) 366-2191
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/26/2014
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