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1174925754
JASON LENTZ
BLOOMINGTON, MN
NPI
1174925754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2568)
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
-- JASON LENTZ ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-831-8742
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Mailing Address
-- JASON LENTZ ATC
3407 TERRACE LN
GOLDEN VALLEY, MN 55422-3845
Phone number: 515-338-0338
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