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Individual
ALEX CARLSON
Active
Individual
ALEX CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Z736-209-830-816
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
Z736-209-830-816
MN
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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