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Individual

CAROLYN JANE WHARTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
3390 COACHMAN RD STE 214, EAGAN, MN 55121-1800
(651) 452-4220
(651) 452-3829
Mailing address
3390 COACHMAN RD STE 214, EAGAN, MN 55121-1800
(651) 452-4220
(651) 452-3829

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MN

Other

Enumeration date
03/08/2018
Last updated
03/08/2018
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