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1295111979
ANDREA VAVRA
BLOOMINGTON, MN
NPI
1295111979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2362)
Enumeration Date
2015-08-05
Last Update Date
2016-05-12
Business Address
-- ANDREA VAVRA ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-866-5660
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Mailing Address
-- ANDREA VAVRA ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-806-5660
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