DUSTIN WAYNE GREEN

ALEXANDRIA, MN
NPI1205460458
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  3304)
Enumeration Date2020-02-26
Last Update Date2020-02-26
Business Address
DUSTIN WAYNE GREEN ATC, LAT
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308-3734
Phone number: 320-762-1144
Mailing Address
DUSTIN WAYNE GREEN ATC, LAT
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308-5274
Phone number: 320-762-1144
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