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1093934184
SANDRA LYNN THELEN
SAINT PAUL, MN
NPI
1093934184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1328)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Mrs. SANDRA LYNN THELEN ATC
2543 7TH AVE E
SAINT PAUL, MN 55109-3004
Phone number: 651-429-9891
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Mailing Address
Mrs. SANDRA LYNN THELEN ATC
2543 7TH AVE E
SAINT PAUL, MN 55109-3004
Phone number: 651-429-9891
Copy
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