Individual
INDIRA RAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5363 NW 53RD ST, WASECA, MN 56093-6277
(217) 779-6348
Mailing address
5363 NW 53RD ST, WASECA, MN 56093-6277
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
09/15/2017
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