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1871852335
BRANT MICHAEL BOEKELMAN
FAIRMONT, MN
NPI
1871852335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2314)
Enumeration Date
2012-05-03
Last Update Date
2012-05-03
Business Address
Mr. BRANT MICHAEL BOEKELMAN ATC
717 S STATE ST
FAIRMONT, MN 56031-4469
Phone number: 507-238-4949
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Mailing Address
Mr. BRANT MICHAEL BOEKELMAN ATC
717 S STATE ST
FAIRMONT, MN 56031-4469
Phone number: 507-238-4949
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