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1790194108
NATHAN SANDBAKKEN
BLOOMINGTON, MN
NPI
1790194108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MN 2544)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
NATHAN SANDBAKKEN ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-977-0461
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Mailing Address
NATHAN SANDBAKKEN ATC
1047 8TH AVE SE
ROCHESTER, MN 55904-5076
Phone number:
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