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1720444508
SHANE GOBLIRSCH
BUFFALO, MN
NPI
1720444508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2533)
Enumeration Date
2016-01-08
Last Update Date
2016-01-08
Business Address
-- SHANE GOBLIRSCH
303 CATLIN ST
BUFFALO, MN 55313-1947
Phone number: 763-213-7378
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Mailing Address
-- SHANE GOBLIRSCH
11381 53RD ST NE
ALBERTVILLE, MN 55301-3902
Phone number: 763-213-7378
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