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1972675940
CHARLES R BARTA
BURNSVILLE, MN
NPI
1972675940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1080)
Enumeration Date
2006-11-15
Last Update Date
2021-02-05
Business Address
Mr. CHARLES R BARTA ATC
501 E NICOLLET BLVD STE 100
BURNSVILLE, MN 55337-6772
Phone number: 952-460-4900
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Mailing Address
Mr. CHARLES R BARTA ATC
18653 86TH PL N
MAPLE GROVE, MN 55311-1692
Phone number: 763-494-3081
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