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1871850768
DYLAN ALLAN SOBOTA
MANKATO, MN
NPI
1871850768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1383052)
Enumeration Date
2012-04-16
Last Update Date
2012-04-16
Business Address
-- DYLAN ALLAN SOBOTA BSSW, CPT
1521 MONKS AVE APARTMENT 8
MANKATO, MN 56001-5142
Phone number: 651-336-0772
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Mailing Address
-- DYLAN ALLAN SOBOTA BSSW, CPT
1521 MONKS AVE APARTMENT 8
MANKATO, MN 56001-5142
Phone number: 651-336-0772
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