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1700901386
ERIC TIMOTHY SAND
GRAND FORKS, ND
NPI
1700901386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND ND 351-08)
Enumeration Date
2007-03-20
Last Update Date
2014-07-23
Business Address
-- ERIC TIMOTHY SAND ATC
2751 2ND AVE N STOP 9013
GRAND FORKS, ND 58202-9013
Phone number: 701-777-0723
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Mailing Address
-- ERIC TIMOTHY SAND ATC
1606 13TH AVE SE
EAST GRAND FORKS, MN 56721-3213
Phone number: 218-760-0527
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