Individual
MRS. AMELIA ALEXANDRA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 16TH ST N, PRINCETON, MN 55371-6163
(763) 843-7094
Mailing address
1108 16TH ST N, PRINCETON, MN 55371-6163
(763) 843-7094
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3246
MN
Other
Enumeration date
10/19/2018
Last updated
08/02/2019
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