Individual
MISS JAMIE DAWN DOLIESLAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAT, ATC, LAT
Contact information
Practice address
260 TWILITE TER, CIRCLE PINES, MN 55014-1625
(651) 491-3022
Mailing address
260 TWILITE TER, CIRCLE PINES, MN 55014-1625
(651) 491-3022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
119702510
—
390200000X
Student in an Organized Health Care Education/Training Program
119702510
MN
Other
Enumeration date
03/09/2006
Last updated
10/26/2022
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