Individual
MR. PAUL LYNN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATR
Contact information
Practice address
1107 HART BLVD STE 10, MONTICELLO, MN 55362-8539
(763) 271-6865
(763) 271-6860
Mailing address
9571 GILLARD AVE NE, MONTICELLO, MN 55362-8695
(763) 295-5354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1192
MN
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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