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1144655887
JERRY EUGENE HANSEN
BURBANK, CA
NPI
1144655887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT6501)
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
Dr. JERRY EUGENE HANSEN Ph.D.
101 S 1ST ST
BURBANK, CA 91502-1938
Phone number: 818-841-1121
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Mailing Address
Dr. JERRY EUGENE HANSEN Ph.D.
101 S 1ST ST SUITE #402
BURBANK, CA 91502-1938
Phone number: 818-841-1121
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