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1790715225
MOIRA DOYLE NOVAK
MINNEAPOLIS, MN
NPI
1790715225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1673)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
-- MOIRA DOYLE NOVAK ATC
516 15TH AVE SE ROOM 190 BFAB
MINNEAPOLIS, MN 55455-0130
Phone number: 612-624-5084
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Mailing Address
-- MOIRA DOYLE NOVAK ATC
8488 SAVANNA OAKS LN
WOODBURY, MN 55125-9460
Phone number: 651-994-0127
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