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1689156473
EDWARD KRIST HANSEN
TACOMA, WA
NPI
1689156473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 564655)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
EDWARD KRIST HANSEN
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 310-738-1326
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Mailing Address
EDWARD KRIST HANSEN
3021 E 2ND ST
LONG BEACH, CA 90803-5164
Phone number: 310-738-1326
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