Individual
ABIGAIL GRACE SISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N 7TH ST, GRAND FORKS, ND 58203-3243
(507) 259-0561
Mailing address
520 N 7TH ST, GRAND FORKS, ND 58203-3243
(507) 259-0561
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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