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Individual

MR. JENS PREM TAMANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
14101 FAIRVIEW DR STE 300, BURNSVILLE, MN 55337-2537
(952) 892-2650
Mailing address
2832 27TH AVE S, MINNEAPOLIS, MN 55406-1506

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106106
MN

Other

Enumeration date
10/10/2019
Last updated
01/05/2023
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