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1609306968
BRIAN HANSEN
POCATELLO, ID
NPI
1609306968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRO-1659)
Enumeration Date
2017-06-19
Last Update Date
2017-06-19
Business Address
BRIAN HANSEN DO
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-232-7862
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Mailing Address
BRIAN HANSEN DO
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-232-4700
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