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Individual

KRISTEN CHRISTOPHERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1425 MAIN ST N, PINE CITY, MN 55063-6026
(320) 629-7505
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 629-7505

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2241
MN

Other

Enumeration date
06/10/2013
Last updated
06/10/2013
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