Individual
MR. RANDALL KEITH PALMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.ED, A.T.C.
Contact information
Practice address
1431 PREMIERE DR, MANKATO, MN 56001-6076
(507) 386-6700
(507) 388-8372
Mailing address
515 JEFFERSON AVE, NORTH MANKATO, MN 56003-2121
(507) 345-1746
(507) 625-3854
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1064
MN
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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