Individual
DEAN LORRIE CHUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 N 7TH ST, BISMARCK, ND 58501-4417
(701) 323-8920
Mailing address
600 GLENWOOD DR, BISMARCK, ND 58504-8030
(612) 220-9903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
695-15
ND
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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