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Individual

GARYT HAAGENSON-BUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11280 210TH ST, BARRETT, MN 56311-1116
(218) 731-0155
Mailing address
11280 210TH ST, BARRETT, MN 56311-1116
(218) 731-0155

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/19/2015
Last updated
03/19/2015
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