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Individual

LAUREN HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4955 17TH AVE S STE 106, FARGO, ND 58103-3372
(701) 364-2673
Mailing address
4955 17TH AVE S STE 106, FARGO, ND 58103-3372
(701) 364-2673

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8601
ND

Other

Enumeration date
05/14/2021
Last updated
05/14/2021
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