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1093049215
RICHARD HOWARD HANSEN
PHOENIX, AZ
NPI
1093049215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP6272)
Enumeration Date
2009-09-21
Last Update Date
2009-09-21
Business Address
Mr. RICHARD HOWARD HANSEN
3625 W CACTUS RD
PHOENIX, AZ 85029-3122
Phone number: 623-915-8066
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Mailing Address
Mr. RICHARD HOWARD HANSEN
7650 N 43RD AVE
GLENDALE, AZ 85301-1661
Phone number: 623-435-6000
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