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1174551899
WAYNE HANSEN
YAKIMA, WA
NPI
1174551899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP30006392)
Enumeration Date
2006-06-29
Last Update Date
2007-07-08
Business Address
-- WAYNE HANSEN NP
110 S 9TH AVE
YAKIMA, WA 98902-3315
Phone number: 508-575-5061
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Mailing Address
-- WAYNE HANSEN NP
9109 HONEYCRISP CT
YAKIMA, WA 98903-9693
Phone number: 509-945-9865
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