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Individual

THOMAS LANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1317 S TERRACE RD, BOX #156, TEMPE, AZ 85281
(651) 261-6735
Mailing address
2537 SOUTHCREST AVE E, SAINT PAUL, MN 55119-5969
(651) 261-6735

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/02/2020
Last updated
10/02/2020
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