TRAVIS GREEN

OAK PARK HEIGHTS, MN
NPI1336280361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  1423)
Enumeration Date2007-02-11
Last Update Date2007-07-08
Business Address
-- TRAVIS GREEN ATR
5595 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082-1091
Phone number: 651-439-4488
Mailing Address
-- TRAVIS GREEN ATR
8919 JANERO AVE S
COTTAGE GROVE, MN 55016-3419
Phone number: 651-214-4593
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