Dustin Sean Hynes

NPI #1174916282 in Andover, Minnesota

Provider Information

NPI Number: 1174916282
Entity Type: Individual
Name: Dustin Sean Hynes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 13, 2015
Last Updated: Mar 13, 2015

Practice Location

Address: 15260 NIGHTINGALE ST NW
City: Andover
State: Minnesota
ZIP Code: 55304-2510
Phone: (612) 804-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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