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1023586088
SHANE HANSEN
SOMERSET, KY
NPI
1023586088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
SHANE HANSEN M.ED
263 WIND CHIME DR
SOMERSET, KY 42503-3821
Phone number: 606-875-0812
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Mailing Address
SHANE HANSEN M.ED
263 WIND CHIME DR
SOMERSET, KY 42503-3821
Phone number: 606-875-0812
Copy
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