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Individual

ROBERT EUGENE HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R034733
SD

Other

Enumeration date
07/30/2013
Last updated
07/30/2013
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