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Individual

JAMES HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13485 SW 102ND AVE, NEW RICHLAND, MN 56072-1825
(763) 689-5385
Mailing address
13485 SW 102ND AVE, NEW RICHLAND, MN 56072-1825

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5212
MN

Other

Enumeration date
07/20/2011
Last updated
07/20/2011
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