Individual
MR. CARL DONALD HANSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6707 STATE ROUTE 48, SPRINGBORO, OH 45066-8481
(937) 903-2343
Mailing address
6707 STATE ROUTE 48, SPRINGBORO, OH 45066-8481
(937) 903-2343
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 120166
OH
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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