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1093837429
HEIDI SUE BECKENDORF
ANOKA, MN
NPI
1093837429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1650)
Enumeration Date
2007-04-05
Last Update Date
2007-07-08
Business Address
-- HEIDI SUE BECKENDORF ATC
3939 7TH AVE
ANOKA, MN 55303-1261
Phone number: 763-506-6445
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Mailing Address
-- HEIDI SUE BECKENDORF ATC
2979 ASPEN LAKE DR NE
BLAINE, MN 55449-7508
Phone number: 763-784-2634
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