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1497795652
GLEN RAY HANSON
SHAWNEE, OK
NPI
1497795652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: OK 18843)
Enumeration Date
2006-06-07
Last Update Date
2012-08-29
Business Address
Dr. GLEN RAY HANSON MD
3315 KETHLEY RD
SHAWNEE, OK 74804-9638
Phone number: 405-273-5801
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Mailing Address
Dr. GLEN RAY HANSON MD
PO BOX 849
SHAWNEE, OK 74802-0849
Phone number: 405-273-5801
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