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Individual

MICHAEL HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
8121 COLFAX AVE S, BLOOMINGTON, MN 55420-5715
(612) 819-5530
Mailing address
8121 COLFAX AVE S, BLOOMINGTON, MN 55420-5715
(612) 819-5530

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
823154
MN

Other

Enumeration date
05/04/2022
Last updated
05/04/2022
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