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Samuel Secord
Student in an Organized Health Care Education/Training Program in Burnsville, Minnesota
NPI 1093324022

Samuel Secord is a Student in an Organized Health Care Education/Training Program based in Burnsville, MN. Samuel Secord practices in Burnsville, MN. The NPI Number for Samuel Secord is 1093324022 and holds a License No. (Minnesota).

The current practice location address for Samuel Secord is 11990 Portland Ave, Burnsville, MN and can be reached out via phone at 763-310-6882.

Location: 11990 Portland Ave, Burnsville, MN, 55337-1516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093324022
Provider Name
Samuel Secord
Credential
Provider Entity Type
Individual
Gender
Male
Address
11990 Portland Ave, Burnsville, MN, 55337-1516
Phone Number
763-310-6882
Fax Number
Provider Enumeration Date
07/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11990 Portland Ave
City
Burnsville
State
Minnesota
Zip
55337-1516
Phone Number
763-310-6882
Fax Number
person
Provider Business Mailing Address Details
Address
11990 Portland Ave
City
Burnsville
State
Minnesota
Zip
55337-1516
Phone Number
763-310-6882
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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