Individual
JUSTIN ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
57986 195TH AVE, DODGE CENTER, MN 55927
(507) 273-5556
Mailing address
57986 195TH AVE, DODGE CENTER, MN 55927-7904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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