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Individual

MOIRA DOYLE NOVAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
255 SMITH AVE N, SAINT PAUL, MN 55102-2572
(952) 946-9777
Mailing address
8488 SAVANNA OAKS LN, WOODBURY, MN 55125-9460
(651) 994-0127

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1673
MN

Other

Enumeration date
07/03/2006
Last updated
10/14/2025
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