Individual
MR. DUANE C MALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
111 17TH AVE E STE 101, ALEXANDRIA, MN 56308-5274
(320) 762-1144
Mailing address
1880 10TH AVE E APT 217, ALEXANDRIA, MN 56308-2719
(773) 251-0095
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MN
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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