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1992859193
DANIEL L HANSON
MERIDIAN, ID
NPI
1992859193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID pa 206)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Mr. DANIEL L HANSON PAC
520 S EAGLE RD
MERIDIAN, ID 83642-6308
Phone number: 208-706-5447
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Mailing Address
Mr. DANIEL L HANSON PAC
2365 S KIMBALL ST
BOISE, ID 83709-3518
Phone number: 208-323-9683
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