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1609228048
SCOTT CORNELIUSSEN
FARGO, ND
NPI
1609228048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-07-11
Last Update Date
2016-07-11
Business Address
-- SCOTT CORNELIUSSEN ATC
5200 21ST AVE S APT. #201
FARGO, ND 58103-7787
Phone number: 701-361-4730
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Mailing Address
-- SCOTT CORNELIUSSEN ATC
5200 21ST AVE S APT. #201
FARGO, ND 58103-7787
Phone number: 701-361-4730
Copy
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