Individual
GRACE CHRISTINE TELEPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 UNIVERSITY DR, BISMARCK, ND 58504-9634
(480) 495-4944
Mailing address
1780 W ASPEN AVE, GILBERT, AZ 85233-3503
(480) 495-4944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
AZ
2255A2300X
Athletic Trainer
Primary
—
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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