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Individual

LUCILLE MARY HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2160 HIGHWAY 13 UNIT 111, MENDOTA HEIGHTS, MN 55120-1102
(763) 442-0883
Mailing address
2160 HIGHWAY 13 UNIT 111, MENDOTA HEIGHTS, MN 55120-1102
(763) 442-0883

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R1234752
MN

Other

Enumeration date
06/01/2022
Last updated
06/01/2022
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