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Individual

JEFFREY POUNDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LP

Contact information

Practice address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(320) 629-7900
Mailing address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(320) 629-7900

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 4626
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03N75PO
BCBS
MN
01
HP 60172
HEALTH PARTNERS
MN
Enumeration date
07/19/2006
Last updated
07/08/2007
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