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1851792683
DOUGLAS HANSEN
OREM, UT
NPI
1851792683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 9141917-8903)
Enumeration Date
2014-09-11
Last Update Date
2015-09-22
Business Address
-- DOUGLAS HANSEN DMD
1256 S STATE ST
OREM, UT 84097-8237
Phone number: 801-607-5024
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Mailing Address
-- DOUGLAS HANSEN DMD
13849 S PIONEER PEAK CIR
HERRIMAN, UT 84096-1904
Phone number: 801-201-8366
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