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Individual

NICOLE ROSE VOGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(952) 451-3209
Mailing address
745 WESTCHESTER AVE, SHAKOPEE, MN 55379-4557
(952) 451-3209

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
116129
IA
2255A2300X
Athletic Trainer
3600
MN

Other

Enumeration date
01/20/2021
Last updated
07/15/2024
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