BRYAN GEORGE DEMAINE

SAINT CLOUD, MN
NPI1477183192
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  1576)
Enumeration Date2020-01-22
Last Update Date2020-01-22
Business Address
Mr. BRYAN GEORGE DEMAINE ATC
720 4TH AVE S # 133
SAINT CLOUD, MN 56301-4498
Phone number: 320-308-2588
Mailing Address
Mr. BRYAN GEORGE DEMAINE ATC
3087 OLYMPUS DR NE
SAUK RAPIDS, MN 56379-4411
Phone number: 320-247-3330
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