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1154586295
WILHELM GUSTAV HANSEN
ITHACA, NY
NPI
1154586295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: NY 90793)
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
Dr. WILHELM GUSTAV HANSEN M. D.
1013 HECTOR ST
ITHACA, NY 14850-2037
Phone number: 607-273-2643
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Mailing Address
Dr. WILHELM GUSTAV HANSEN M. D.
1013 HECTOR ST
ITHACA, NY 14850-2037
Phone number: 607-273-2643
Copy
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