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1154397701
SAM HANSEN
LAFAYETTE, IN
NPI
1154397701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IN 01054645A)
Enumeration Date
2006-02-24
Last Update Date
2022-06-27
Business Address
SAM HANSEN MD
3900 ST FRANCIS WAY STE 205
LAFAYETTE, IN 47905-4939
Phone number: 765-428-2500
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Mailing Address
SAM HANSEN MD
3900 ST FRANCIS WAY STE 205
LAFAYETTE, IN 47905-4939
Phone number:
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