Individual
DUSTIN SEAN HYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15260 NIGHTINGALE ST NW, ANDOVER, MN 55304-2510
(612) 804-1113
Mailing address
15260 NIGHTINGALE ST NW, ANDOVER, MN 55304-2510
(612) 804-1113
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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