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Individual

DR. TERRESE L HANSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
14231 N 7TH ST, SUITE A2, PHOENIX, AZ 85022-4360
(602) 504-1000
(602) 504-1008
Mailing address
14231 N 7TH ST, SUITE A2, PHOENIX, AZ 85022-4360
(602) 504-1000
(602) 504-1008

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5050
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0941540
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/22/2005
Last updated
07/08/2007
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