Individual
MANDY ODENCRANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1313
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
03/25/2019
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