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MS. SOPHIA LYNN HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
15245 BLUEBIRD ST NW, ANDOVER, MN 55304-3538
(763) 587-4688
Mailing address
8366 FAIRCHILD AVE, SAINT PAUL, MN 55112-6121
(763) 248-6378

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14727
MN

Other

Enumeration date
06/06/2022
Last updated
04/04/2024
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