Individual
CARTER HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 PAUL BUNYAN DR SE, BEMIDJI, MN 56601
(218) 444-7788
Mailing address
31541 WALNUT DR, CASS LAKE, MN 56633-3180
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2023-406
MN
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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