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1699226548
JENNIFER LYNN HANSEN
NAMPA, ID
NPI
1699226548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-447)
Enumeration Date
2016-10-15
Last Update Date
2016-10-15
Business Address
-- JENNIFER LYNN HANSEN OTR/L
1127 CALDWELL BLVD
NAMPA, ID 83651-1701
Phone number: 208-465-4935
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Mailing Address
-- JENNIFER LYNN HANSEN OTR/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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