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Individual

REBECCA JOANNE BERNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 E MAIN ST, ANOKA, MN 55303-2527
(763) 421-3722
Mailing address
9645 OGDEN AVE NE, OTSEGO, MN 55330-7442
(763) 516-6392

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
11/03/2011
Last updated
11/03/2011
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