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Individual

STEPHANIE KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21370 JOHN MILLESS DR, ROGERS, MN 55374-9449
(763) 276-5009
(763) 441-4287
Mailing address
11966 193RD LN NW, ELK RIVER, MN 55330-1259
(763) 276-5009
(763) 441-4287

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
03/13/2013
Last updated
03/13/2013
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