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1881423424
JEFFEREY MICHAEL HANSON
IVINS, UT
NPI
1881423424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 820009498019)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
JEFFEREY MICHAEL HANSON
272 E CENTER ST STE 103
IVINS, UT 84738-6743
Phone number: 435-674-2115
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Mailing Address
JEFFEREY MICHAEL HANSON
1115 N 1570 W
ST GEORGE, UT 84770-5316
Phone number: 801-898-0669
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