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Individual

IRENE HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
937 FRANKLIN AVE, LEMOORE, CA 93245-2931
(559) 998-4256
Mailing address
1458 AVENUE E, KINGSBURG, CA 93631-2684
(559) 859-0769

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
16077
CA

Other

Enumeration date
01/30/2007
Last updated
11/21/2017
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