Individual
MR. SEAN LEE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
321 4TH AVE N APT 10, WAHPETON, ND 58075-3963
(701) 640-5285
Mailing address
321 4TH AVE N APT 10, WAHPETON, ND 58075-3963
(701) 640-5285
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
281-04
ND
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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