Individual
MRS. ABBY EMMA MARIE EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/R
Contact information
Practice address
2004 RANDOLPH AVE, F-18, SAINT PAUL, MN 55105-1750
(651) 690-6730
Mailing address
17204 EMBERS AVE, FARMINGTON, MN 55024-7336
(952) 460-6349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1870
MN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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