Individual
DR. JASON LEVI HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
630 15TH AVE STE 102, LONGMONT, CO 80501-2764
(720) 494-1525
Mailing address
630 15TH AVE STE 102, LONGMONT, CO 80501-2764
(720) 494-1525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6315
CO
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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