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1821179698
GLENN EUGENE HANSEN
BEDFORD, TX
NPI
1821179698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
(Licence: TX h9976)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
-- GLENN EUGENE HANSEN d.o,
2520 HARWOOD RD SUITE 200
BEDFORD, TX 76021-6709
Phone number: 817-267-6222
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Mailing Address
-- GLENN EUGENE HANSEN d.o,
2520 HARWOOD RD SUITE 200
BEDFORD, TX 76021-6709
Phone number: 817-267-6222
Copy
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