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1124607940
TRACY LYNN HANSON
DRAPER, UT
NPI
1124607940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 218060-4405)
Enumeration Date
2021-04-07
Last Update Date
2022-01-25
Business Address
TRACY LYNN HANSON NP
74 E KIMBALLS LN STE 260
DRAPER, UT 84020-5009
Phone number: 801-545-8480
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Mailing Address
TRACY LYNN HANSON NP
PO BOX 198560
ATLANTA, GA 30384-8560
Phone number:
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