Individual
JACLYN RUDONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 KNIGHT AVE S, THIEF RIVER FALLS, MN 56701-2813
(218) 681-7432
Mailing address
2301 25TH ST S, FARGO, ND 58103-6104
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2409
MN
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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