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1669872594
BLAKE POLLEMA
PUEBLO, CO
NPI
1669872594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND 2000017573)
Enumeration Date
2014-08-28
Last Update Date
2019-08-07
Business Address
BLAKE POLLEMA ATC
1337 GRAY WOLF CIR
PUEBLO, CO 81001-4932
Phone number: 320-241-2514
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Mailing Address
BLAKE POLLEMA ATC
34382 COUNTY ROAD 89
BROWERVILLE, MN 56438
Phone number:
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