IVY A. HANSEN

IDAHO FALLS, ID
NPI1164755104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-814)
Enumeration Date2009-09-09
Last Update Date2009-09-09
Business Address
-- IVY A. HANSEN P.A.-C.
2065 E 17TH ST SUITE D
IDAHO FALLS, ID 83404-8042
Phone number: 208-522-0747
Mailing Address
-- IVY A. HANSEN P.A.-C.
2065 E 17TH ST SUITE D
IDAHO FALLS, ID 83404-8042
Phone number: 208-522-0747
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