Individual
GRACE ANNE JULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
700 TERRACE HTS, WINONA, MN 55987-1399
(763) 203-1786
Mailing address
7080 HIGHWAY 61 W APT 201, MINNESOTA CITY, MN 55959-1275
(763) 203-1786
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3709
MN
Other
Enumeration date
11/09/2022
Last updated
07/11/2023
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