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1154860005
KAYLA UPTAGRAFFT
MAPLE GROVE, MN
NPI
1154860005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2900)
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
-- KAYLA UPTAGRAFFT ATC
9555 UPLAND LANE NORH
MAPLE GROVE, MN 55369
Phone number: 952-806-5600
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Mailing Address
-- KAYLA UPTAGRAFFT ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number:
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