DONALD HANSEN

BOLINGBROOK, IL
NPI1720452709
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
(Licence: IL  14D2099042)
Enumeration Date2015-11-13
Last Update Date2015-11-13
Business Address
-- DONALD HANSEN OWNER
541 SPRUCE RD
BOLINGBROOK, IL 60440-2504
Phone number: 630-750-7378
Mailing Address
-- DONALD HANSEN OWNER
541 SPRUCE RD
BOLINGBROOK, IL 60440-2504
Phone number: 630-750-7378
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