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1194229351
LISA HANSEN
ROYAL OAK, MI
NPI
1194229351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704279694)
Enumeration Date
2018-03-22
Last Update Date
2021-07-30
Business Address
LISA HANSEN NP
424 E 4TH ST STE 100
ROYAL OAK, MI 48067-2757
Phone number: 888-854-1397
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Mailing Address
LISA HANSEN NP
424 E 4TH ST STE 100
ROYAL OAK, MI 48067-2757
Phone number:
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