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1063913259
GWEN HUMANN
BRECKENRIDGE, MN
NPI
1063913259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 8968)
Enumeration Date
2018-02-23
Last Update Date
2018-09-19
Business Address
GWEN HUMANN PT
430 5TH ST N
BRECKENRIDGE, MN 56520-1426
Phone number: 218-641-7725
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Mailing Address
GWEN HUMANN PT
23757 CANTERBURRY SANDS TRAIL
BATTLE LAKE, MN 56515
Phone number: 218-371-2843
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