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Individual

SHEILA JO OLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
3335 142ND ST W, ROSEMOUNT, MN 55068-4006
(651) 423-7547
Mailing address
14267 BANYAN LN, ROSEMOUNT, MN 55068-3495
(651) 216-2834

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1640
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1640
MEDICAL BOP REGISTRATION
MN
Enumeration date
10/16/2007
Last updated
10/16/2007
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