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1821194697
BRIAN KEITH PICKERING
FERGUS FALLS, MN
NPI
1821194697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1624)
Enumeration Date
2006-09-16
Last Update Date
2015-04-30
Business Address
Mr. BRIAN KEITH PICKERING ATC
615 S MILL ST
FERGUS FALLS, MN 56537-2756
Phone number: 218-739-6889
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Mailing Address
Mr. BRIAN KEITH PICKERING ATC
2511 18TH ST S
MOORHEAD, MN 56560-4810
Phone number: 218-770-4900
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