LISA NICOLE BENGTSON

STORM LAKE, IA
NPI1568880375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  000787)
Enumeration Date2014-03-31
Last Update Date2014-03-31
Business Address
Ms. LISA NICOLE BENGTSON MS, ATC, LAT
610 W 4TH ST
STORM LAKE, IA 50588-1713
Phone number: 712-749-2021
Mailing Address
Ms. LISA NICOLE BENGTSON MS, ATC, LAT
17 SAINT ANDREWS DR
STORM LAKE, IA 50588-7800
Phone number: 712-299-1134
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