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1922214113
JACK C HANSEN
ATLANTIC, IA
NPI
1922214113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 20468)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Mr. JACK C HANSEN Pharm D
1630 E 7TH ST
ATLANTIC, IA 50022-1909
Phone number: 712-243-2240
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Mailing Address
Mr. JACK C HANSEN Pharm D
1309 ELM ST
ATLANTIC, IA 50022-2335
Phone number: 712-243-7717
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