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1861488801
MARK EDWARD HANSEN
SPRINGFIELD, IL
NPI
1861488801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036057023)
Enumeration Date
2005-09-26
Last Update Date
2007-07-08
Business Address
Dr. MARK EDWARD HANSEN M.D.
3132 OLD JACKSONVILLE RD SUITE 200
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0806
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Mailing Address
Dr. MARK EDWARD HANSEN M.D.
3132 OLD JACKSONVILLE RD SUITE 200
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0806
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