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1467778548
BROOKE LANE HANSEN
SALT LAKE CITY, UT
NPI
1467778548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: UT 8153301-1205)
Enumeration Date
2010-04-14
Last Update Date
2020-10-07
Business Address
Dr. BROOKE LANE HANSEN MD
370 E 9TH AVE STE 205
SALT LAKE CITY, UT 84103-3184
Phone number: 801-408-6100
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Mailing Address
Dr. BROOKE LANE HANSEN MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-6100
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