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Individual

SHAWNEE K HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
1509 10TH ST NE, JAMESTOWN, ND 58401-6562
(701) 952-4003
Mailing address
210 EAST ST, BINFORD, ND 58416-7707
(701) 690-7261

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
982-24
ND

Other

Enumeration date
02/05/2024
Last updated
03/14/2025
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