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1922657501
CHASE WILLIAM HANSON
IDAHO FALLS, ID
NPI
1922657501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN pending)
Enumeration Date
2019-09-06
Last Update Date
2021-08-31
Business Address
CHASE WILLIAM HANSON PA-C
2210 CORONADO ST
IDAHO FALLS, ID 83404-7430
Phone number: 208-522-3355
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Mailing Address
CHASE WILLIAM HANSON PA-C
2210 CORONADO ST
IDAHO FALLS, ID 83404-7430
Phone number: 208-522-3355
Copy
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