Individual
KARA BETH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 CINNAMON RIDGE TRAIL, EAGAN, MN 55122
(615) 670-4872
Mailing address
4560 CINNAMON RIDGE TRAIL, EAGAN, MN 55122
(615) 670-4872
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2083P0901X
GA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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