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1659040251
GORDON HANSON
CARMEL, IN
NPI
1659040251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002787A)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
MR. GORDON HANSON
LIFESPAN THERAPY CARMEL HEALTH AND LIVING COMMUNITY 118 MEDICAL DRIVE
CARMEL, IN 46032
Phone number: 317-573-1037
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Mailing Address
MR. GORDON HANSON
3811 WHITEHORSE RD
NASHVILLE, IN 47448-8191
Phone number:
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