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1750527362
CHRISTOPHER ROBERT FAGERNESS
SIOUX CENTER, IA
NPI
1750527362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00438)
Enumeration Date
2009-01-02
Last Update Date
2009-01-02
Business Address
Mr. CHRISTOPHER ROBERT FAGERNESS ATC
498 4TH AVE NE
SIOUX CENTER, IA 51250-1606
Phone number: 712-722-6312
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Mailing Address
Mr. CHRISTOPHER ROBERT FAGERNESS ATC
2800 PIERCE ST
SIOUX CITY, IA 51104-3755
Phone number: 605-421-9835
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