NATHAN GLENN ELLINGSON

BISMARCK, ND
NPI1477921799
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2015-09-02
Last Update Date2015-09-02
Business Address
NATHAN GLENN ELLINGSON
116 E DENVER AVE
BISMARCK, ND 58504-6430
Phone number: 218-639-7864
Mailing Address
NATHAN GLENN ELLINGSON
116 E DENVER AVE
BISMARCK, ND 58504-6430
Phone number: 218-639-7864