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Individual
JANA G HANSON
Active
Individual
JANA G HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G60495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G604950
BLUE SHIELD OF CA PIN
CA
01
—
1109232696
RR MEDICARE LEGACY PIN
—
01
—
635985
FIRST HEALTH LEGACY PIN
—
01
—
ORR003
SLO SELECT
—
Enumeration date
11/21/2005
Last updated
09/26/2011
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