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1346275070
KIMBERLY A STAKSTON
EDINA, MN
NPI
1346275070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1767)
Enumeration Date
2006-07-11
Last Update Date
2011-10-28
Business Address
Mrs. KIMBERLY A STAKSTON ATC
8100 W 78TH ST SUITE 225
EDINA, MN 55439-2516
Phone number: 952-946-9777
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Mailing Address
Mrs. KIMBERLY A STAKSTON ATC
8100 W 78TH ST SUITE 225
EDINA, MN 55439-2516
Phone number: 952-946-9777
Copy
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