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1093835159
GARY EDWIN GUNDERSON
BRAINERD, MN
NPI
1093835159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: MN LP2801)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
Dr. GARY EDWIN GUNDERSON Ed. D, MS LP
702 SW 5TH ST
BRAINERD, MN 56401-3997
Phone number: 218-454-6369
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Mailing Address
Dr. GARY EDWIN GUNDERSON Ed. D, MS LP
28022 COUNTY ROAD 107
PEQUOT LAKES, MN 56472-3312
Phone number: 218-838-2448
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