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1356559629
JULIE MAE GOODMUNDSON
WAYZATA, MN
NPI
1356559629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MN 1956)
Enumeration Date
2007-05-19
Last Update Date
2018-03-17
Business Address
JULIE MAE GOODMUNDSON ATR
17309 BAY CIR
WAYZATA, MN 55391-2806
Phone number: 612-636-2936
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Mailing Address
JULIE MAE GOODMUNDSON ATR
17309 BAY CIR
WAYZATA, MN 55391-2806
Phone number: 612-636-2936
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