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1487423158
CHRISTOPHER ELLIOT GRUNKE
FARGO, ND
NPI
1487423158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-12-22
Last Update Date
2024-05-21
Business Address
CHRISTOPHER ELLIOT GRUNKE MAT, ATC
801 17TH AVE N
FARGO, ND 58102-2226
Phone number: 605-333-1500
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Mailing Address
CHRISTOPHER ELLIOT GRUNKE MAT, ATC
1035 ELDORADO DR
OMAHA, NE 68154-1132
Phone number: 402-215-3844
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