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1114407004
HEATHER LYNNE HANSEN
PORTLAND, ME
NPI
1114407004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA1834)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
HEATHER LYNNE HANSEN PA-C
144 STATE ST
PORTLAND, ME 04101-3776
Phone number: 207-879-3000
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Mailing Address
HEATHER LYNNE HANSEN PA-C
19 MONTREAL ST APT 2
PORTLAND, ME 04101-2715
Phone number: 858-395-9119
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