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1700356102
JORDAN HAGENBUCHER
DULUTH, MN
NPI
1700356102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-11-28
Last Update Date
2018-11-28
Business Address
JORDAN HAGENBUCHER
1200 KENWOOD AVE
DULUTH, MN 55811-4199
Phone number: 715-297-7216
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Mailing Address
JORDAN HAGENBUCHER
133 SUMMIT ST APT 417
DULUTH, MN 55803-4525
Phone number: 715-297-7216
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