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Individual
BONNIE MCMANAMON HANSON
Active
Individual
BONNIE MCMANAMON HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200729
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08404301
—
MS
05
—
2380613
—
LA
Enumeration date
09/11/2014
Last updated
12/02/2022
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