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1912765488
SUSAN K. GROTHE
LAKE ELMO, MN
NPI
1912765488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: MN 410794)
Enumeration Date
2024-03-11
Last Update Date
2024-03-11
Business Address
SUSAN K. GROTHE
11200 STILLWATER BLVD N STE 101
LAKE ELMO, MN 55042-8625
Phone number: 952-207-4899
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Mailing Address
SUSAN K. GROTHE
10679 83RD ST N
STILLWATER, MN 55082-4515
Phone number: 952-207-4899
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