Mac Jacob Hansen
Mac Jacob Hansen is a Student in an Organized Health Care Education/Training Program in Burnsville, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1705 Southcross Dr W Ste 101Burnsville, MN 55306-7012
Phone: (952) 225-1575
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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 |
|---|
Record details
| NPI number | 1114640554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 21, 2022 |
| Last updated in NPPES | September 21, 2022 |
| Certification date | September 21, 2022 |
| Mailing address | Po Box 363, Farmington, MN 55024-0363 |
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