Individual
PAYTON ANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
977 GOODRICH AVE APT 1, SAINT PAUL, MN 55105-2787
(651) 233-7567
Mailing address
977 GOODRICH AVE APT 1, SAINT PAUL, MN 55105-2787
(651) 233-7567
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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