Jackie Lynn Hawkinson, SPTA
Jackie Lynn Hawkinson, SPTA is a Student in an Organized Health Care Education/Training Program in Saint Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2013
Practice location Address checks out
6008 Goodrich AveSaint Louis Park, MN 55416-2425
Phone: (612) 578-0502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence G087026331215 (MN) |
|---|
Record details
| NPI number | 1578801346 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SPTA |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2013 |
| Last updated in NPPES | January 29, 2013 |
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