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1386860757
KELLIE RIEDL
MANKATO, MN
NPI
1386860757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1975)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- KELLIE RIEDL ATC CSCS
135 MYERS FIELDHOUSE
MANKATO, MN 56001-6171
Phone number: 507-381-0450
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Mailing Address
-- KELLIE RIEDL ATC CSCS
417 THOMAS DRIVE
EAGLE LAKE, MN 56024
Phone number:
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