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Individual

MS. SUSAN HELEN LUNDQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCTMB

Contact information

Practice address
5901 OMAHA AVE N STE 115, STILLWATER, MN 55082-6477
(651) 343-1165
Mailing address
3954 HOMEWOOD AVE, SAINT PAUL, MN 55110-4507
(651) 343-1165

Taxonomy

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

Other

Enumeration date
09/29/2020
Last updated
09/29/2020
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