JUSTIN LEE SWAGGERT

MINNEAPOLIS, MN
NPI1811032873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Mr. JUSTIN LEE SWAGGERT ATC
516 15TH AVE SE
MINNEAPOLIS, MN 55455-0130
Phone number: 612-625-0649
Mailing Address
Mr. JUSTIN LEE SWAGGERT ATC
2545 ALDRICH AVE S
MINNEAPOLIS, MN 55405-2925
Phone number: 651-334-9128