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Individual

STUART BORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MED, ATC, CSCS

Contact information

Practice address
4200 DAHLBERG DR, GOLDEN VALLEY, MN 55422-4840
(701) 893-5886
Mailing address
4200 DAHLBERG DRIVE, GOLDEN VALLEY, MN 55422
(701) 893-5886

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/12/2012
Last updated
12/12/2014
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