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1639775109
JOHN C HANSON
SPOKANE VALLEY, WA
NPI
1639775109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
JOHN C HANSON SUDP-T
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206-4220
Phone number: 206-605-2209
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Mailing Address
JOHN C HANSON SUDP-T
4618 S NAPA ST
SPOKANE, WA 99223-6448
Phone number: 509-981-1766
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