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1851090039
EILEEN CAROL MUMFORD
EAGAN, MN
NPI
1851090039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: MN 00005509)
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
EILEEN CAROL MUMFORD LMT
1012 DIFFLEY RD
EAGAN, MN 55123-1778
Phone number: 612-913-2714
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Mailing Address
EILEEN CAROL MUMFORD LMT
18519 ORCHARD TRL
LAKEVILLE, MN 55044-6621
Phone number: 612-913-2714
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