JORDAN HAGENBUCHER

DULUTH, MN
NPI1700356102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-11-28
Last Update Date2018-11-28
Business Address
JORDAN HAGENBUCHER
1200 KENWOOD AVE
DULUTH, MN 55811-4199
Phone number: 715-297-7216
Mailing Address
JORDAN HAGENBUCHER
133 SUMMIT ST APT 417
DULUTH, MN 55803-4525
Phone number: 715-297-7216