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Individual

DR. ALISSA R HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
815 1ST AVE S, JAMESTOWN, ND 58401-4746
(701) 251-2240
Mailing address
614 15TH ST SE, JAMESTOWN, ND 58401-5740
(701) 388-7469

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2133
ND

Other

Enumeration date
06/21/2012
Last updated
06/21/2012
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