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Individual

DR. JARED L HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
1965 S EAGLE RD STE 120, MERIDIAN, ID 83642-9287
(208) 887-9355
Mailing address
1965 S EAGLE RD STE 120, MERIDIAN, ID 83642-9287
(208) 887-9355

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1305
ID

Other

Enumeration date
08/05/2008
Last updated
08/05/2008
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