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Individual

EVAN HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 3RD AVE SW STE D, MINOT, ND 58701-4346
(701) 223-2417
Mailing address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-5000
(701) 857-8555

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172A00000X
Driver

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1481497
ND
05
1481672
ND
Enumeration date
01/22/2021
Last updated
06/14/2021
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