Individual
JACOB BORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
5137 38TH AVE S, MINNEAPOLIS, MN 55417-1649
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24445
MN
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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