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1932259058
PAUL LYNN HANSEN
MONTICELLO, MN
NPI
1932259058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1192)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mr. PAUL LYNN HANSEN ATR
1107 HART BLVD STE 10
MONTICELLO, MN 55362-8539
Phone number: 763-271-6865
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Mailing Address
Mr. PAUL LYNN HANSEN ATR
9571 GILLARD AVE NE
MONTICELLO, MN 55362-8695
Phone number: 763-295-5354
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