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1588691372
DANIEL CHARLES HANSEN
KINGSVILLE, TX
NPI
1588691372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-06-27
Last Update Date
2007-08-31
Business Address
-- DANIEL CHARLES HANSEN IDC
730 FORRESTAL ST
KINGSVILLE, TX 78363-5112
Phone number: 361-516-6160
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Mailing Address
-- DANIEL CHARLES HANSEN IDC
2037 OVERLAND TRL
CORPUS CHRISTI, TX 78410-1857
Phone number: 361-688-4296
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