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Individual
JENNIFER L HANSLICK
Active
Individual
JENNIFER L HANSLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009012792
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
2009012792
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
32635
OK
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
49529
CO
2080N0001X
Neonatal-Perinatal Medicine Physician
MD177451
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200673240A
—
OK
05
—
50271768
—
CO
Enumeration date
04/28/2008
Last updated
02/26/2020
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