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1053887067
CHASE K HANSEN
SALT LAKE CITY, UT
NPI
1053887067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: UT 10787299-2401)
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
Dr. CHASE K HANSEN DPT
1121 E BRICKYARD RD APT 1803
SALT LAKE CITY, UT 84106-2531
Phone number: 801-309-0848
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Mailing Address
Dr. CHASE K HANSEN DPT
1121 E BRICKYARD RD APT 1803
SALT LAKE CITY, UT 84106-2531
Phone number: 801-309-0848
Copy
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