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Individual

STACY ANN SOLBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
720 4TH AVE S, SAINT CLOUD, MN 56301-4498
(218) 966-9515
Mailing address
523 12TH ST S APT 203, SAINT CLOUD, MN 56301-5541
(218) 966-9515

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
12/03/2019
Last updated
12/03/2019
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