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1972957843
ANDREW CARLSON
FARGO, ND
NPI
1972957843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ND 536-14)
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
ANDREW CARLSON LAT, ATC
2301 25TH ST S
FARGO, ND 58103
Phone number: 701-417-6000
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Mailing Address
ANDREW CARLSON LAT, ATC
1920 21ST AVE S APT 308
FARGO, ND 58103
Phone number: 701-317-1473
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