Individual
JULIANN MARIE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
730 E 34TH ST, HIBBING, MN 55746-5109
(218) 263-1028
Mailing address
2815 3RD AVE W, HIBBING, MN 55746-2026
(218) 262-4125
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1261
MN
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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