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1336897396
MARC HANSON
IDAHO FALLS, ID
NPI
1336897396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: ID OT-1483)
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
MARC HANSON MOTR/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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Mailing Address
MARC HANSON MOTR/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Copy
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