MARK JEANSON

ROSEVILLE, MN
NPI1659414548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MN  L037176-8)
Enumeration Date2007-02-14
Last Update Date2007-07-08
Business Address
-- MARK JEANSON
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113-1126
Phone number: 651-642-1825
Mailing Address
-- MARK JEANSON
3945 23RD AVE S
MINNEAPOLIS, MN 55407-3038
Phone number: