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1841380011
PATRICK ALLEN LACINA
FARGO, ND
NPI
1841380011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND 225-00)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- PATRICK ALLEN LACINA ATC
2400 32ND AVE S
FARGO, ND 58103-5800
Phone number: 701-234-8700
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Mailing Address
-- PATRICK ALLEN LACINA ATC
510 WESTERN RD
WAHPETON, ND 58075-3745
Phone number: 710-642-1413
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