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Individual
MALINDA HANSEN
Active
Individual
MALINDA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
R3097
TX
207Q00000X
Family Medicine Physician
BP10053131
TX
207Q00000X
Family Medicine Physician
Primary
R3097
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
R3097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100619250
—
KY
Enumeration date
06/12/2015
Last updated
03/31/2023
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