MILES DOUGLAS HANSEN

POUGHKEEPSIE, NY
NPI1104414754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  002176)
Enumeration Date2021-01-08
Last Update Date2021-01-08
Business Address
Mr. MILES DOUGLAS HANSEN ATC
10 DALEY RD
POUGHKEEPSIE, NY 12603-3225
Phone number: 845-546-2286
Mailing Address
Mr. MILES DOUGLAS HANSEN ATC
10 DALEY RD
POUGHKEEPSIE, NY 12603-3225
Phone number: 845-546-2286
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