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1295134088
CHARLA BUXBAUM
DULUTH, MN
NPI
1295134088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2424)
Enumeration Date
2014-08-18
Last Update Date
2014-08-18
Business Address
-- CHARLA BUXBAUM ATC
1216 ORDEAN CT. SPHC 170 UNIVERSITY OF MINNESOTA DULUTH
DULUTH, MN 55812
Phone number: 218-726-6624
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Mailing Address
-- CHARLA BUXBAUM ATC
1216 ORDEAN CT. SPHC 170 UNIVERSITY OF MINNESOTA DULUTH
DULUTH, MN 55812
Phone number:
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