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Individual

WILLIAM HENRY HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, DPM

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
P000000821
WA
363A00000X
Physician Assistant
PA10004866
WA

Other

Enumeration date
03/09/2007
Last updated
12/10/2013
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