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1497068910
BRIAN HANSEN
PROVO, UT
NPI
1497068910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 8918949-2501)
Enumeration Date
2010-07-26
Last Update Date
2016-09-02
Business Address
Dr. BRIAN HANSEN Ph.D.
125 EAST 300 SOUTH SUITE 207
PROVO, UT 84606-5156
Phone number: 801-477-6940
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Mailing Address
Dr. BRIAN HANSEN Ph.D.
993 EAST 300 SOUTH
PROVO, UT 84606-5156
Phone number: 801-310-2133
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