Individual
JACK H DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56- 66 1/2 WAY NE, FRIDLEY, MN 55432
(763) 381-9936
Mailing address
56- 66 1/2 WAY NE, FRIDLEY, MN 55432
(763) 381-9936
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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