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1134253578
DARLA J HANSON
ODESSA, TX
NPI
1134253578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: TX C17792)
Enumeration Date
2007-03-16
Last Update Date
2008-06-17
Business Address
-- DARLA J HANSON CMF
4101 E 42ND ST
ODESSA, TX 79762-7239
Phone number: 432-366-1158
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Mailing Address
-- DARLA J HANSON CMF
3302 COUNTY ROAD O
ACKERLY, TX 79713-4038
Phone number: 432-366-1158
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