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1124006143
LYNN K GUSTAFSON
MANKATO, MN
NPI
1124006143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: MN 492)
Enumeration Date
2006-01-09
Last Update Date
2020-07-10
Business Address
LYNN K GUSTAFSON DPM
1421 PREMIERE DR MANKATO CLINIC @ WICKERSHAM CAMPUS
MANKATO, MN 56001
Phone number: 507-625-1811
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Mailing Address
LYNN K GUSTAFSON DPM
PO BOX 8674 1230 E MAIN ST
MANKATO, MN 56002-8674
Phone number: 507-625-1811
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