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Individual
JODI MARIE FUERSTENBERG
Active
Individual
JODI MARIE FUERSTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1968
MN
Other
Enumeration date
05/02/2007
Last updated
12/31/2014
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