CHRIS BRIAN LOPEZ DOMINGO

WOODBURY, MN
NPI1346066842
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  3500)
Enumeration Date2024-11-29
Last Update Date2024-11-29
Business Address
CHRIS BRIAN LOPEZ DOMINGO ATC
155 RADIO DR
WOODBURY, MN 55125-2619
Phone number: 952-831-8742
Mailing Address
CHRIS BRIAN LOPEZ DOMINGO ATC
18423 97TH PL N
MAPLE GROVE, MN 55311-7708
Phone number: 320-291-3569
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