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Individual

MR. JOHN SANGER HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIC. AC.

Contact information

Practice address
22780 THREE NOTCH RD, LEXINGTON PARK, MD 20653-1538
(301) 737-0662
Mailing address
PO BOX 238, LEONARDTOWN, MD 20650-0238
(301) 475-8688

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0121000374
VA
171100000X
Acupuncturist
281
MA
171100000X
Acupuncturist
Primary
U00633
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BL08JS
CAREFIRST BLUECROSS BLUES
MD
01
S477-0001
CAREFIRST BLUECROSSBLUESH
MD
Enumeration date
03/26/2007
Last updated
07/08/2007
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