Individual
DR. JILLIAN JAN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
323 SOUTH BROADWAY, WEST BEND, IA 50597-0297
(515) 887-3811
Mailing address
PO BOX 297, WEST BEND, IA 50597-0297
(515) 887-3811
(515) 887-2568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06924
IA
Other
Enumeration date
11/08/2006
Last updated
10/03/2011
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