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1477921799
NATHAN GLENN ELLINGSON
BISMARCK, ND
NPI
1477921799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-09-02
Last Update Date
2015-09-02
Business Address
-- NATHAN GLENN ELLINGSON
116 E DENVER AVE
BISMARCK, ND 58504-6430
Phone number: 218-639-7864
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Mailing Address
-- NATHAN GLENN ELLINGSON
116 E DENVER AVE
BISMARCK, ND 58504-6430
Phone number: 218-639-7864
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