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Individual

ELLE HAWKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUDIOLOGIST

Contact information

Practice address
4801 W 81ST ST STE 112, BLOOMINGTON, MN 55437-1111
(952) 345-0000
(952) 345-6789
Mailing address
4801 W 81ST ST STE 112, BLOOMINGTON, MN 55437-1111
(952) 345-0000
(952) 345-6789

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8437
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
01/26/2009
Last updated
05/16/2024
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