Individual
AMANDA CARLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 COUNTY ROAD 50, ROCKFORD, MN 55373-8100
(763) 477-5846
Mailing address
4957 VIRGINIA AVE N, NEW HOPE, MN 55428-4105
(320) 333-3469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2611
MN
Other
Enumeration date
03/07/2019
Last updated
01/22/2024
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