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1811643349
SAMUEL R DAHLE
BLOOMINGTON, MN
NPI
1811643349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MN 3426)
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
SAMUEL R DAHLE ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-831-8742
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Mailing Address
SAMUEL R DAHLE ATC
2237 WINDSOR LAKE DR
MINNETONKA, MN 55305-2635
Phone number: 952-388-4008
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