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Individual

MRS. CHELSEA ANN HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1067 S WELLS ST, MERIDIAN, ID 83642-7997
(208) 895-8486
Mailing address
3754 W BEDROCK DR, MERIDIAN, ID 83646-9027
(208) 389-8151

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH-1904
ID
174400000X
Specialist
Primary

Other

Enumeration date
06/07/2020
Last updated
03/15/2021
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