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Individual

ADAM JANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
2657 CRISTINE CT, WHITE BEAR LAKE, MN 55110-5761

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary

Other

Enumeration date
10/09/2017
Last updated
10/09/2017
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