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Individual

TIFFANY MARY ERICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, A.T.C

Contact information

Practice address
5228 90TH ST E, NORTHFIELD, MN 55057-4349
(651) 564-0442
Mailing address
5228 90TH ST E, NORTHFIELD, MN 55057-4349
(651) 564-0442

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/29/2012
Last updated
02/11/2016
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