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1386972909
ASHLEY LYNN BOUTAIN
ALEXANDRIA, MN
NPI
1386972909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2183)
Enumeration Date
2009-11-19
Last Update Date
2014-04-18
Business Address
Ms. ASHLEY LYNN BOUTAIN ATC
111 17TH AVE E SUITE 101
ALEXANDRIA, MN 56308-3734
Phone number: 320-762-1144
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Mailing Address
Ms. ASHLEY LYNN BOUTAIN ATC
111 17TH AVE E SUITE 101
ALEXANDRIA, MN 56308-3734
Phone number: 320-762-1144
Copy
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