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1770947640
BRIAN HANSON
GREEN BAY, WI
NPI
1770947640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-04-07
Last Update Date
2016-04-07
Business Address
-- BRIAN HANSON ATC
234 SWISS MEADOW LN
GREEN BAY, WI 54302-5253
Phone number: 262-501-3739
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Mailing Address
-- BRIAN HANSON ATC
234 SWISS MEADOW LN
GREEN BAY, WI 54302-5253
Phone number:
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