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1013018100
THEODORE LESTER HANSEN
MINNEAPOLIS, MN
NPI
1013018100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2086)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Dr. THEODORE LESTER HANSEN OD
115 EAST LAKE ST
MINNEAPOLIS, MN 55408
Phone number: 612-827-3857
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Mailing Address
Dr. THEODORE LESTER HANSEN OD
115 EAST LAKE ST
MINNEAPOLIS, MN 55408
Phone number: 612-827-3857
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