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1598196149
HEIDI STARK
ALEXANDRIA, MN
NPI
1598196149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2013-12-09
Last Update Date
2013-12-09
Business Address
Mrs. HEIDI STARK MA, ATC
111 17TH AVE E SUITE 101
ALEXANDRIA, MN 56308-5273
Phone number: 320-762-1144
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Mailing Address
Mrs. HEIDI STARK MA, ATC
6767 INDIAN LAKE RD NW
GARFIELD, MN 56332-8403
Phone number: 218-368-7792
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