Individual
DEBRA LEE DYKHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
795 ROCKFORD AVE E, DELANO, MN 55328-9186
(612) 419-7372
Mailing address
795 ROCKFORD AVE E, DELANO, MN 55328-9186
(612) 419-7372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3400737
MN
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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