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1982479325
DERRICK LUNDBERG
MINNEAPOLIS, MN
NPI
1982479325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
DERRICK LUNDBERG LMT
1224 2ND ST NE
MINNEAPOLIS, MN 55413-1130
Phone number: 612-345-5648
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Mailing Address
DERRICK LUNDBERG LMT
2194 LEXINGTON AVE N APT 12
ROSEVILLE, MN 55113-4351
Phone number: 651-214-2476
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