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Individual

CHERIE L HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
167 WARREN ST, MADISONVILLE, TN 37354-3001
(423) 442-5480
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(800) 928-7449

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
OS8012
FL
207Q00000X
Family Medicine Physician
Primary
OS8012
FL

Other

Enumeration date
05/22/2006
Last updated
06/15/2023
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