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Individual

KRISTEN FOSNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(612) 803-9790
Mailing address
7801 COLFAX AVE N, BROOKLYN PARK, MN 55444-2153
(612) 803-9790

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2638
MN

Other

Enumeration date
11/09/2022
Last updated
11/09/2022
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