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Individual

LEEANN LYKSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
532 MAIN ST, BENNINGTON, VT 05201-2875
(802) 447-2900
Mailing address
323 N BRANCH ST, BENNINGTON, VT 05201-2030
(802) 430-4432

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
04/14/2011
Last updated
04/14/2011
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