Individual
CHARLENE DAYLE HEULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
224 STARK RD, CLOQUET, MN 55720-9428
(218) 409-0784
Mailing address
224 STARK RD, CLOQUET, MN 55720-9428
(218) 409-0784
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1853
MN
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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