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1366536849
PHYLLIS ANN HANSEN
POPLAR BLUFF, MO
NPI
1366536849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 093219)
Enumeration Date
2006-10-02
Last Update Date
2015-05-14
Business Address
Mrs. PHYLLIS ANN HANSEN NP
225 PHYSICIANS PARK SUITE 203
POPLAR BLUFF, MO 63901-3935
Phone number: 573-686-4750
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Mailing Address
Mrs. PHYLLIS ANN HANSEN NP
PO BOX 760
POPLAR BLUFF, MO 63902-0760
Phone number: 573-785-1822
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