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1669897989
BRYANT HANSEN
REXBURG, ID
NPI
1669897989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1148)
Enumeration Date
2014-02-24
Last Update Date
2024-03-11
Business Address
BRYANT HANSEN PA-C
72 S 1ST E STE 101
REXBURG, ID 83440-1965
Phone number: 208-356-4900
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Mailing Address
BRYANT HANSEN PA-C
PO BOX 18
SAINT ANTHONY, ID 83445-0018
Phone number: 208-356-4900
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