Individual
DYLAN ALLAN SOBOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSSW, CPT
Contact information
Practice address
1521 MONKS AVE, APARTMENT 8, MANKATO, MN 56001-5142
(651) 336-0772
Mailing address
1521 MONKS AVE, APARTMENT 8, MANKATO, MN 56001-5142
(651) 336-0772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1383052
MN
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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