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Individual

TOMAS JON HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 729-5020
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-0000

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
103198
AK

Other

Enumeration date
05/13/2019
Last updated
05/13/2019
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