Individual
MOLLY GUNKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MAT
Contact information
Practice address
1130 1ST ST N, FARGO, ND 58102-3730
(701) 793-4734
Mailing address
1130 1ST ST N, FARGO, ND 58102-3730
(701) 793-4734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2876
MN
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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