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1093018590
MONIQUE ANNE FOSTER
BLOOMINGTON, MN
NPI
1093018590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MN 2116)
Enumeration Date
2010-12-06
Last Update Date
2010-12-06
Business Address
MONIQUE ANNE FOSTER ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-806-5379
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Mailing Address
MONIQUE ANNE FOSTER ATC
4101 PARKLAWN AVE APT 308
EDINA, MN 55435-4684
Phone number: 262-352-7215
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