Individual
MAYUMI OGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2751 2ND AVE N RM 115, MAIL STOP 9013, GRAND FORKS, ND 58202-6060
(701) 777-0723
(701) 777-8058
Mailing address
817 DUKE DR APT 107, GRAND FORKS, ND 58201-3970
(307) 399-3883
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2601000959
MI
2255A2300X
Athletic Trainer
Primary
691-15
ND
Other
Enumeration date
01/02/2015
Last updated
09/12/2015
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