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1073605697
BRUCE R HANSON
MOORHEAD, MN
NPI
1073605697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 7237)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
-- BRUCE R HANSON MS CCC SLP
1104 7TH AVE SOUTH MSUM BOX 119
MOORHEAD, MN 56563-0001
Phone number: 218-477-4641
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Mailing Address
-- BRUCE R HANSON MS CCC SLP
1104 7TH AVE SOUTH MSUM BOX 119
MOORHEAD, MN 56563-0001
Phone number: 218-477-5953
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