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Individual

LARA ANN PARKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, CSCS

Contact information

Practice address
2016 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7375
Mailing address
26082 458TH PL, AITKIN, MN 56431-5739

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
01/05/2007
Last updated
07/08/2007
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