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Organization
FITNESS 1ST TRAINING, INC.
Active
Organization
FITNESS 1ST TRAINING, INC.
Active
Other names
Black and Blue Boxing, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL EDWARD SANDELL ATC (OWNER/ATHLETIC TRAINER)
(612) 670-1565
Entity
Organization
Contact information
Practice address
920 125TH LN NE, BLAINE, MN 55434-3182
(612) 670-1565
Mailing address
920 125TH LN NE, BLAINE, MN 55434-3182
(612) 670-1565
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2141
MN
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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