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1376581546
DWAYNE M HANSEN
REXBURG, ID
NPI
1376581546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M8427)
Enumeration Date
2006-06-02
Last Update Date
2023-03-07
Business Address
Dr. DWAYNE M HANSEN M.D.
381 EAST 4TH NORTH STE 100
REXBURG, ID 83440
Phone number: 208-656-8442
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Mailing Address
Dr. DWAYNE M HANSEN M.D.
PO BOX 185
REXBURG, ID 83440-0185
Phone number: 208-656-8442
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