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1659407112
CATHY JO GUNVALSON
RED LAKE, MN
NPI
1659407112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MN 3033)
Enumeration Date
2007-02-26
Last Update Date
2007-07-09
Business Address
Mrs. CATHY JO GUNVALSON RDH
HWY 1 AND LAKE ST
RED LAKE, MN 56644
Phone number: 218-679-3316
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Mailing Address
Mrs. CATHY JO GUNVALSON RDH
14740 500TH ST
GONVICK, MN 56644-4173
Phone number: 218-679-0125
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