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1184994022
KATE S PETERSON
EDINA, MN
NPI
1184994022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2102)
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
-- KATE S PETERSON ATC
8100 W 78TH ST SUITE 230
EDINA, MN 55439-2516
Phone number: 952-946-9777
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Mailing Address
-- KATE S PETERSON ATC
8100 W. 78TH ST. SUITE 230
EDINA, MN 55439
Phone number: 952-946-9777
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