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1194772103
JACK EDWARD HUBBARD
BURNSVILLE, MN
NPI
1194772103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MN 24157)
Enumeration Date
2006-05-27
Last Update Date
2011-12-01
Business Address
Dr. JACK EDWARD HUBBARD Ph.D., M.D.
675 E NICOLLET BLVD SUITE 100
BURNSVILLE, MN 55337-6749
Phone number: 952-435-8516
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Mailing Address
Dr. JACK EDWARD HUBBARD Ph.D., M.D.
675 E NICOLLET BLVD SUITE 100
BURNSVILLE, MN 55337-6749
Phone number: 952-435-8516
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