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Individual

DR. SHOKO HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 MED TECH PKWY, STE. 240, JOHNSON CITY, TN 37604-2364
(423) 794-5520
(423) 282-6940
Mailing address
301 MED TECH PKWY, STE. 240, JOHNSON CITY, TN 37604-2364
(423) 794-5520
(423) 282-6940

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35606
TN

Other

Enumeration date
07/13/2005
Last updated
09/26/2008
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