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1063728079
KRISTIN LYNN JOHANNSEN
BROOKINGS, SD
NPI
1063728079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SD 0344)
Enumeration Date
2010-08-27
Last Update Date
2010-08-27
Business Address
MISS KRISTIN LYNN JOHANNSEN ATC
S DAKOTA STATE UNIVERSITY 2820 HPER CTR
BROOKINGS, SD 57007-0001
Phone number: 605-688-4003
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Mailing Address
MISS KRISTIN LYNN JOHANNSEN ATC
416 SOUTHLAND LANE APARTMENT 205
BROOKINGS, SD 57006-3550
Phone number: 605-310-1015
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