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Individual

JAMES WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC/ATR, CSCS

Contact information

Practice address
200 FIRST STREET SW, ROCHESTER, MN 55905
(507) 266-7800
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 266-7800

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1589
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
MN
Enumeration date
05/06/2015
Last updated
05/06/2015
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