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1538213137
PHILLIP MARTIN HANSON
FAYETTEVILLE, NC
NPI
1538213137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-00797)
Enumeration Date
2007-01-22
Last Update Date
2013-08-25
Business Address
Mr. PHILLIP MARTIN HANSON PA
1841 QUIET CV
FAYETTEVILLE, NC 28304-3857
Phone number: 910-630-1112
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Mailing Address
Mr. PHILLIP MARTIN HANSON PA
PO BOX 64575
FAYETTEVILLE, NC 28306-0575
Phone number: 910-630-1112
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