STAN HANSEN

LEWISTON, ME
NPI1356541536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  SP1293)
Enumeration Date2007-07-25
Last Update Date2007-07-25
Business Address
-- STAN HANSEN
1567 LISBON ST
LEWISTON, ME 04240-3545
Phone number: 207-795-4022
Mailing Address
-- STAN HANSEN
1567 LISBON ST
LEWISTON, ME 04240-3545
Phone number: 207-795-4022
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