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Individual

DOROTHY DEETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCTMB

Contact information

Practice address
333 MAIN ST N STE 205, STILLWATER, MN 55082-5054
(651) 430-2212
Mailing address
PO BOX 272, MARINE ON SAINT CROIX, MN 55047-0272
(651) 430-2212

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
02/12/2007
Last updated
07/08/2007
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