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1164577482
KELLY J BURNS
FARGO, ND
NPI
1164577482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND 047-87)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Mr. KELLY J BURNS ATC
2301 25TH ST S
FARGO, ND 58103-6104
Phone number: 701-280-2406
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Mailing Address
Mr. KELLY J BURNS ATC
3928 3RD ST S
MOORHEAD, MN 56560-5602
Phone number: 218-236-9913
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