Individual
DEANNA J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 FAIRVIEW BOULEVARD, FAIRVIEW SPORTS AND ORTHOPEDIC CARE, WYOMING, MN 55092
(651) 982-7495
(651) 982-7539
Mailing address
5200 FAIRVIEW BOULEVARD, FAIRVIEW SPORTS AND ORTHOPEDIC CARE, WYOMING, MN 55092
(651) 982-7495
(651) 982-7539
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1533
MN
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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