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1194787242
MICHAEL BOGENREIF
MOORHEAD, MN
NPI
1194787242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND 30305)
Enumeration Date
2006-04-04
Last Update Date
2014-08-23
Business Address
-- MICHAEL BOGENREIF L/ATC
3001 22ND ST. S.
MOORHEAD, MN 56560
Phone number: 701-899-1108
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Mailing Address
-- MICHAEL BOGENREIF L/ATC
3001 22ND ST. SOUTH
MOORHEAD, MN 56560
Phone number: 701-899-1108
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