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1013786425
GLEN THOMAS HANSEN
SAN DIEGO, CA
NPI
1013786425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician
Enumeration Date
2023-12-27
Last Update Date
2023-12-27
Business Address
GLEN THOMAS HANSEN Ph.D
10581 ROSELLE ST
SAN DIEGO, CA 92121-1519
Phone number: 858-258-9493
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Mailing Address
GLEN THOMAS HANSEN Ph.D
4665 GOLDENROD LN N
MINNEAPOLIS, MN 55442-2493
Phone number: 161-275-1210
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