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1003987132
JEFFREY JAMES CARLSON
COON RAPIDS, MN
NPI
1003987132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-11-12
Last Update Date
2007-07-08
Business Address
-- JEFFREY JAMES CARLSON M Ed, ATC
2104 NORTHDALE BLVD NW SUITE 100
COON RAPIDS, MN 55433-3005
Phone number: 763-755-5495
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Mailing Address
-- JEFFREY JAMES CARLSON M Ed, ATC
3777 114TH LN NW
COON RAPIDS, MN 55433-2607
Phone number: 763-323-1732
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