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1255571238
KIM HANSEN
SANTA ROSA, CA
NPI
1255571238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 12070)
Enumeration Date
2009-03-03
Last Update Date
2009-03-03
Business Address
-- KIM HANSEN FNP
962 SEBASTOPOL RD
SANTA ROSA, CA 95407-6829
Phone number: 707-547-2222
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Mailing Address
-- KIM HANSEN FNP
751 LOMBARDI CT
SANTA ROSA, CA 95407-6793
Phone number: 707-547-2222
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