Individual
KAYLEE LYN GOMBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
11771 56TH ST N, LAKE ELMO, MN 55042-6100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10955
MN
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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