Individual
DEBRA JS SEPPELT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
501 S MAPLE ST, WACONIA, MN 55387-1715
(952) 442-2191
(952) 442-6548
Mailing address
9520 10TH ST SW, HOWARD LAKE, MN 55349-4905
(320) 543-2292
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1049
MN
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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