NATHAN MICHAEL TELLERS

ST BONIFACIUS, MN
NPI1922092675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  1745)
Enumeration Date2005-09-08
Last Update Date2007-07-08
Business Address
Mr. NATHAN MICHAEL TELLERS ATC
4246 SPRUCE RD
ST BONIFACIUS, MN 55375-1315
Phone number: 952-467-1915
Mailing Address
Mr. NATHAN MICHAEL TELLERS ATC
4246 SPRUCE RD
ST BONIFACIUS, MN 55375-1315
Phone number: 952-467-1915
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