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1225000367
ROGER G. HANSEN
WINSTON SALEM, NC
NPI
1225000367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 36359)
Enumeration Date
2006-02-03
Last Update Date
2013-02-15
Business Address
-- ROGER G. HANSEN MD
600 HIGHLAND OAKS DR
WINSTON SALEM, NC 27103-7107
Phone number: 336-774-0040
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Mailing Address
-- ROGER G. HANSEN MD
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number: 336-774-0040
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