Individual
JULIE MAE GOODMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR
Contact information
Practice address
17309 BAY CIR, WAYZATA, MN 55391-2806
(612) 636-2936
Mailing address
17309 BAY CIR, WAYZATA, MN 55391-2806
(612) 636-2936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1956
MN
Other
Enumeration date
05/19/2007
Last updated
03/17/2018
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