KENNETH ILDEFONSO

MANKATO, MN
NPI1518356427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  2474)
Enumeration Date2015-01-15
Last Update Date2015-01-15
Business Address
Mr. KENNETH ILDEFONSO A.T.R
1801 MONKS AVE APARTMENT 413
MANKATO, MN 56001-6356
Phone number: 203-584-3347
Mailing Address
Mr. KENNETH ILDEFONSO A.T.R
1801 MONKS AVE APARTMENT 413
MANKATO, MN 56001-6356
Phone number:
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