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1225178593
DOUGLASS EUGENE HANSON
REXBURG, ID
NPI
1225178593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152WC0802X Optometrist Corneal and Contact Management
(Licence: ID ODP 0703)
Enumeration Date
2007-02-07
Last Update Date
2012-04-25
Business Address
DR. DOUGLASS EUGENE HANSON OPTOMETRIST
24 E MAIN ST
REXBURG, ID 83440-1927
Phone number: 208-356-0881
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Mailing Address
DR. DOUGLASS EUGENE HANSON OPTOMETRIST
24 E MAIN ST PO BOX 547
REXBURG, ID 83440-1927
Phone number: 208-356-0881
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